T-vector direction differentiates postpacing from ischemic T-wave inversion in precordial leads.

Abstract

BACKGROUND Postpacing precordial T-wave inversion (TWI), known as cardiac memory (CM), mimics ischemic precordial TWI, and there are no established ECG criteria that adequately distinguish between the two. On the basis of CM properties (postpacing sinus rhythm T vector approaching the direction of the paced QRS vector), we hypothesized that CM induced by… (More)

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