Intracranial Hemorrhage

Cerebral hemorrhage or other causes of rapid rises in intracranial pressure can produce bradycardia, widening of the T waves, and T wave inversion across the precordial leads. Such changes are an ominous prognostic sign. Figure 13.6 shows the tracing of an elderly white female with an ultimately fatal extensive cerebral hemorrhage.

Figure 13.6. ECG tracing just before death of an elderly white female with a massive cerebral hemorrhage. Note the deep, symmetrical T wave inversion, particularly across the precordial leads,

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