A member asked:

Can anxiety cause slight t wave inversion? i ve had around 30 ecg during the last 6 months (everytime it was because i went to the er after having a panic attack and feeling of irregular heartbeat). 28 times i ve had normal ecg but 2 times i ve had what

3 doctors weighed in across 2 answers
Dr. Robert Henson answered

Specializes in Internal Medicine - Cardiology

Maybe: many ECG changes are called "nonspecific" because they do not mean anything in general outside of the clinical context. remember - an ECG is technology that is 36 years older than the first Model T car - they are cheap and easy so we do alot of them - often they suggest various things, but rarely definitive - you can get mild differences on the basis of lead placement or what you had for lunch.

Answered 7/18/2016

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Unlikely: T waves are usually inverted in aVR and often leads III, aVL, aVF & V1, An inverted t wave in any single lead is considered a "normal variant." Anxiety doesn't cause T wave inversion but, in your case, it is causing multiple ER visits & EKG's and probably more anxiety. You sound miserable but what you need is appropriate & aggressive treatment for your anxiety, not more EKG's.

Answered 1/18/2015

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