Question 1

74 years type 2 dm for past 20 years. last week chest pain while walking alone and got better when taking rest. ecg and echo normal .trop i score 9.2.tmt positive with downsloping st segment and t wave inversion reversed in recovery phase.diagnosis?

Accepted Answer

: It sounds like angina. The person may need a stress test to see what happens with exercise and, if ischemia is present, will need treatment. This person should be seeing a cardiologist. Best of luck to you!

Question 2

what do these ekg impressions mean sinus tachycardia, incomplete right bundle branch block, left anterior fascicular block, lateral myocardial infarction , age undetermined, t wave inversion now evident in lateral leads?

Accepted Answer

: Your reported EKG report would raise concerns about potential cardiovascular disease.  Not feasible to assess the accuracy of this.  Would try to clarify via a cardiology consultation, ASAP.

Question 3

i have sinus bradycardia, juvenile t wave inversion . i am always exhausted even without doing anything and always feel dizzy and almost fainted when they extracted blood from me. tsh, ft4 level are low normal. i am 19 yo female. should i be worried?

Accepted Answer

: A cardiac evaluation is recommended and if you have had COVID 19 infection recently or in the past, please let your PCP know and request a referral. Other considerations include a pulmonary condition including a pulmonary embolism and valvular disease.
A chest image and evaluation of pulse oximetry is recommended. Watch for shortness of breath, fainting and swelling. COVID 19 booster recommended.

Question 4

what do t wave inversion in the septal leads mean?

Accepted Answer

T wave: It can mean abnormalities in repolarization in the area of the septum. There is a legion of possible reasons for such T wave inversions.

Question 5

what does it mean if your ecg shows t wave inversion from v1- v4 ?

Accepted Answer

Abnormal ECGS: T wave inversions are an abnormal electrical pattern on an ECG which can indicate a heart problem. Most serious would be an indication of ischemia, or lack of blood flow to a part of the heart muscle. This occurs when there are cholesterol blockages in the coronary arteries. Other  less dangerous causes  for these changes include high blood pressure, leaky valves and thickened heart muscle.

Question 6

what leads are normal to have t wave inversion? are p waves always upright?

Accepted Answer

EKG: P waves are normally upright. T waves in healthy young individuals are usually upright in leads 1,2, AVL, V4,V5,and V6. Other leads may have inverted T waves and still be normal. These are just guidelines,however as normal variants are common in EKG's, especially in young individuals.

Question 7

what does t wave inversion mean in lead iii and avf?

Accepted Answer

Depends: In a vacuum, it's a non-specific finding. Isolated T inversion in III is common and normal but when combined with aVf, it can sometimes mean that the inferior wall of the heart isn't receiving adequate circulation. Further testing is indicated.

Question 8

what does it mean on a ecg rsr in v2 and t wave inversion in v1-v3?  would ablation fix this?

Accepted Answer

ECG: Probably a normal ECG,NOT modifiable by ablation; so forget it and don't worry.

Question 9

what could cause transient st	 wave abnormalities on my ekg...t wave inversion specifically.  my ekgs always change some with t inversions.

Accepted Answer

Left ventricular: Left ventricular strain for  a variety of possible reasonss: from left ventricular hypertrophy to strain, electrolyte abnormalities, abnormalities of the sodium channels.

Question 10

my ekg from yesterday was compared to the one i had done in 2021 n yesterday came back abnormal and says t wave inversion now evident in anterior leads... what does that mean ?

Accepted Answer

: This is a non-specific finding and the interpretation depends on many factors-like why did you get the test? Are you having symptoms suggestive of a heart issue, etc.? You should see a cardiologist to determine the significance of this finding, especially if it is changed from a prior EKG. So, see a cardiologist to determine if more testing is needed. Good luck to you!

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Doctor answers about:

Persistent juvenile t wave inversion

A member asked:

74 years type 2 dm for past 20 years. last week chest pain while walking alone and got better when taking rest. ecg and echo normal .trop i score 9.2.tmt positive with downsloping st segment and t wave inversion reversed in recovery phase.diagnosis?

A member asked:

What do these ekg impressions mean sinus tachycardia, incomplete right bundle branch block, left anterior fascicular block, lateral myocardial infarction , age undetermined, t wave inversion now evident in lateral leads?

A member asked:

I have sinus bradycardia, juvenile t wave inversion . i am always exhausted even without doing anything and always feel dizzy and almost fainted when they extracted blood from me. tsh, ft4 level are low normal. i am 19 yo female. should i be worried?

A member asked:

What do t wave inversion in the septal leads mean?

A member asked:

What does it mean if your ecg shows t wave inversion from v1- v4 ?

A member asked:

What leads are normal to have t wave inversion? are p waves always upright?

A member asked:

What does t wave inversion mean in lead iii and avf?

A member asked:

What does it mean on a ecg rsr in v2 and t wave inversion in v1-v3? would ablation fix this?

A member asked:

What could cause transient st\t wave abnormalities on my ekg...t wave inversion specifically. my ekgs always change some with t inversions.

A member asked:

My ekg from yesterday was compared to the one i had done in 2021 n yesterday came back abnormal and says t wave inversion now evident in anterior leads... what does that mean ?

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