A Case Report on Bifid T Wave Due to Acute Coronary Syndrome

Bifid T waves are seen in healthy children and young adults. They also occur in certain pathological conditions, including organic heart diseases, disorders of the central nervous system, and alcoholism. Myocardial ischemia can affect the T-wave change as one of those is the bifid T wave, which is a QTc prolongation form occurring in the acute coronary syndrome. Case Report: A 48-year-old man referred to the emergency room because of typical chest pain of 2 days'' duration. He had a history of ischemic heart disease, and his vital signs were stable. At the time of his recent admission to the CCU, he experienced one episode of ventricular fibrillation (VF), which was converted to sinus rhythm with a 200j DC shock. In his first electrocardiogram after the VF, prolonged QTc as a bifid T wave was obvious. Myocardial ischemia can affect the T-wave morphology in a variety of ways, and one of those is the bifid T wave, which is a QTc prolongation diagnostic form that occurs in the acute coronary event and malignant arrhythmia.