T Wave Alternans Preceding ST Segment Depression as a Sign of Myocardial Ischemia During Treadmill Test
T Wave Alternans Preceding ST Segment Depression as a Sign of Myocardial Ischemia During Treadmill Test
S.R. Mittal1* and Govind Mittal2**
We observed a case where T wave alternans preceded classical ischemic ST segment depression during treadmill stress test. T wave alternans is considered to suggest increased susceptibility to ventricular arrhythmias. Our case suggests that T wave alternans can also be a marker of myocardial ischemia and can precede classical ischemic ST segment depression during treadmill stress test.
Keywords: Electrocardiography,Electrical alternans, Ischemic heart disease, Treadmill test and T wave
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