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Images in Clinical Medicine
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Volume 330:1791 June 23, 1994 Number 25
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Negative U Waves as an Indicator of Stress-Induced Myocardial Ischemia

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Figure 1. Lucite-Ball Plombage.

Chest discomfort and negative U waves in precordial leads V, V, and V of the electrocardiogram (black arrows) with T-wave inversion occurred after the infusion of dipyridamole in a patient with severe stenosis of the proximal left anterior descending coronary artery. These findings occurred concomitantly with severe myocardial hypoperfusion in the anteroseptal region during a thallium stress test. The area of hypoperfusion subsequently filled in (white arrows). Among the electrocardiographic signs of transient myocardial ischemia, negative U waves in the precordial leads have been reported to be very specific for coronary artery disease, especially stenosis or . . . [Full Text of this Article]

 



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