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Large T wave inversion and QT prolongation associated with pulmonary edema

A report of nine cases

^a Department of Internal Medicine, Carolinas Medical Center, Charlotte, North Carolina, USA

View larger version (119K): [in a new window]   Figure 1 Patient 8. (Top) ECG on admission for acute pulmonary edema demonstrating sinus tachycardia with minimal nonspecific ST-T changes and normal QT intervals. (Bottom) Two days later, the ECG shows large negative T waves in multiple leads and marked prolongation of the QT intervals.

View larger version (94K): [in a new window]   Figure 2 Patient 5. (Top) ECG on admission for acute pulmonary edema demonstrating sinus tachycardia, left ventricular hypertrophy and nonspecific ST-T changes. (Bottom) Within 24 h of symptom resolution, global T wave inversion developed with significantly prolonged QT intervals.