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Challenges in Clinical Electrocardiography
Aug 8 2011

Large T-Wave Inversion in a Patient With a Pacemaker

Author Affiliations
 

SECTION EDITORS: JEFFREY TABAS, MD; PAUL D. VAROSY, MD; GREGORY M. MARCUS, MD; NORA GOLDSCHLAGER, MD

Arch Intern Med. 2011;171(15):1314. doi:10.1001/archinternmed.2011.358

A 42-year-old man with history of supraventricular tachycardia, surgical ablation, and pacemaker implantation for postoperative atrioventricular (AV) block at age 19 years, was recently hospitalized for abdominal pain, chest discomfort, nausea, vomiting, and 1 episode of hematemesis. Chest computed tomography revealed bilateral nonocclusive pulmonary emboli (PE). Findings from upper endoscopy were negative. In addition to the PEs, the patient was diagnosed as having functional dyspepsia.

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