Abhijeet Shelke B*, Ramesh Kawade and Chintha Sriram
Department of Cardiology, Krishna Institute of Medical Sciences "Deemed University", Karad, IndiaFulltext PDF
The changes in the Electrocardiography (ECG) are known to occur during and after coronary angioplasty. T waves may be inverted in patients with chronically ischemic myocardial cells due to abnormal transmural action potential gradient. Such patient when develop acute ischemia, may present with upright T waves in the ECG as an early sign which is called as pseudonormalization. However the importance of pseudo normalization of T waves after angioplasty is not described in the literature. Pseudonormalization may be the only ECG change seen during acute vascular occlusion immediate after angioplasty. It requires early diagnosis and emergency vascular intervention. This case report highlights the usefulness and value of old ECG sign in the management of patient with chest pain post angioplasty. Also we discuss electrophysiological mechanism in detail.
Pseudonormalization; Post-angioplasty; ECG; Acute coronary occlusion
Abhijeet Shelke B, Kawade R, Sriram C. Pseudonormalization of T Waves after Coronary Angioplasty: A Medical Emergency. Ann Clin Case Rep. 2021; 6: 1912..