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American Journal of Critical Care. 2007;16: 137-140

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Confounding T-Wave Inversion

By Sandra Bresnahan, RN, MSN, ACNP and Jo-Ann Eastwood, RN, PhD, CCNS, CCRN. From the Anesthesia Preop Clinic, Veterans Affairs Greater Los Angeles Healthcare System (SB), and School of Nursing, University of California, Los Angeles (JE), Los Angeles, Calif.

Corresponding author: Sandra Bresnahan, RN, MSN, ACNP, Mail Code 111, 11301 Wilshire Blvd, Los Angeles, CA 90073 (e-mail: sandra.bresnahan{at}va.gov).

In the medical community, the nonspecific finding of T-wave inversion warrants further investigation. An electrocardiogram may be an essential component of a surgical risk evaluation. Patients who show a T-wave inversion on a preoperative electrocardiogram require further investigation to distinguish between pathological and benign T-wave inversion. Optimizing patients’ safety during the perioperative experience is the ultimate clinical outcome.







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