Neurogenic T wave inversion in pure left insular stroke associated with hyperhomocysteinaemia

Abstract

The most common ECG alterations are QT prolongation, ST segment alterations, T wave flattening or inversion, and abnormal U waves.¹ ECG changes may be similar to those commonly observed in patients with coronary artery disease,² but they have also been demonstrated in the absence of autopsy proven heart disease.¹ This suggests a neurogenic rather than a primary cardiac cause, mediated by unbalanced autonomic control.