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(Circulation. 1954;10:843.)
© 1954 American Heart Association, Inc.

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The Misinterpretation of Electrocardiograms with Postprandial T-Wave Inversion

ISIDORE ROCHLIN M.D.¹ W. L. JACK EDWARDS M.D.¹

¹ From the Department of Medicine, Medical College of Alabama, Birmingham, Ala.

Postprandial changes in the electrocardiogram are generally considered to be slight and not subject to misinterpretation. Four patients are presented in whom a diagnosis of coronary artery disease had been made because of flattening or inversion of the T waves in the bipolar or lateral V leads. The changes in T waves were temporary and could be produced by a high-carbohydrate meal. In addition, T-wave changes after a similar meal were studied in 85 normal young adults and 47 patients.

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