Stress cardiomyopathy: Provoked chaotic T-wave lability

Ann Noninvasive Electrocardiol. 2018 Nov;23(6):e12544. doi: 10.1111/anec.12544. Epub 2018 Apr 17.

Abstract

Potentially lethal arrhythmia, occurring at presentation or during hospitalization, are a part of the clinical spectrum of stress cardiomyopathy. There is significant association between the catecholamine provoked nonalternating beat to beat fluctuations in T-wave morphology, termed T-wave lability (TWL), and the clinical risk of arrhythmia. We report four patients with diagnosis of stress cardiomyopathy, in whom serial electrocardiography showed macrovoltage nonalternating fluctuations in T-wave morphology.

Keywords: clinical noninvasive techniques; electrocardiography; electrophysiology; ventricular tachycardia.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Chest Pain / diagnosis
  • Chest Pain / etiology
  • Electrocardiography*
  • Emergency Service, Hospital
  • Female
  • Humans
  • Male
  • Middle Aged
  • Monitoring, Physiologic / methods
  • Prognosis
  • Remission, Spontaneous*
  • Sampling Studies
  • Takotsubo Cardiomyopathy / diagnosis*