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Doctor insights on: T Wave Abnormality Consider Inferior Ischemia

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Sinus tachycardia~t wave abnormality, consider inferior ischemia~abnormal ecg~when compared with ECG of 10-aug-2013 11:38, ~questionable change in qrs?

Sinus tachycardia~t wave abnormality, consider inferior ischemia~abnormal ecg~when compared with ECG of 10-aug-2013 11:38, ~questionable change in qrs?

Non-specific: You need a stress test. It appears that you've had one. If it's been >1 year, it should be repeated now and done with an imaging modality such as echo or nuclear perfusion imaging. A resting ekg is a notoriously inaccurate test, especially in middle-aged women. (that's not sexism, it's science). There are many (most) false positives. ...Read more

Dr. Cynthia Thaik
1,920 Doctors shared insights

Ischemia (Definition)

Used to describe inadequate blood flow and oxygen delivery to an extremity, an organ, or brain which ...Read more


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Ecg possible myocardial ischemia inferior plus t wave inversion. How serious?

Ecg possible myocardial ischemia inferior plus t wave inversion. How serious?

ECG: Possible abnormalities can possibly be meaningful or not. The best you can say is possibly serious. More information is needed, ask your Doc about you. ...Read more

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Help me understand this. Stress test says t wave liability at rest t wave inversion during recovery non diagnostic for ischemia. St depression <1mm??

Help me understand this. Stress test says t wave liability at rest t wave inversion during recovery non diagnostic for ischemia. St depression <1mm??

EKG essentially ok: Sounds like they were determining if you had narrowing of your heart arteries and if that was causing a low blood supply to your heart. Ischemia means low blood/oxygen supply to tissue (in this case the heart). When there is a low blood/oxygen supply to heart tissue ischemia can happen and a t-wave inversion can show this on EKG. ST depres can tell if you have had a heart attack, not in your case ...Read more

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My resting ECG report shows t wave abnormality, consider anterior ischemia and incomplete rbbb. Should I be concerned? I see a cardio in 2 weeks.

ECG abnormality: T wave abnormalities are usually non-specific, especially if you are an otherwise healthy young woman. The computer read-out should always be confirmed and checked by the physician, so you will have more specific info after you get the opinion of the cardiologist. Of course, if you have cardiac symptoms like chest pain with exertion then a more urgent eval is a good idea. ...Read more

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Hi. I did ECG and results : ST and T wave abnormality, consider inferolateral ischemia, doctor said everything is ok... 27 years old, 60 kg.

Hi. I did ECG and results : ST and T wave abnormality, consider inferolateral ischemia, doctor said everything is ok... 27 years old, 60 kg.

Depends: In many cases the EKG machine gives an automated reading. It's not as effective as having a good pair of eyes reading the EKG. I'd go with your docs's advice. ...Read more

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Iam 65 years old abnormal ecg Normal sinus rhythm Possible inferior infarction, age undetermined ST& T wave abnormality, consider lateral ischemia?

Automated ECG: The automated ECG interpretation that appears on a 12 lead ECG printout must always be viewed with a grain (or two) of salt. The best person to evaluate your ECG is your doctor. Period. The machine is famous for misinterpretation. Go see your doctor. Have a history and physical done. Then have him/her look at your ECG. ...Read more

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Normal sinus rhythm with sinus arrhythmia Rightward axis T wave abnormality, consider anterior ischemia Abnormal ECG???? . I'm a 22 year old female.

Normal sinus rhythm with sinus arrhythmia Rightward axis T wave abnormality, consider anterior ischemia Abnormal ECG???? . I'm a 22 year old female.

May not be a problem: Sinus arrhythmia is not abnormal. The axis could be rightward in some normal individuals. Likewise, T wave abnormal is almost always non-specific and may not reflect ischemia (impaired blood supply to the heart muscle.). Computer readings of an ECG may not be reliable. Please have your doctor review the ECG and comment further. ...Read more

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My EKG states st and t wave abnormalities and sinus tachycardia and consider inferno lateral ischemia.. My doctor didn't seem concerned. Should I be?

My EKG states st and t wave abnormalities and sinus tachycardia and consider inferno lateral ischemia.. My doctor didn't seem concerned. Should I be?

Family practice: The ekg machine is very sensitive in their readings. Their interpretation is often miss read. It must always be read by the physician for a final reading. Many times we compare it with previous ekg, s. Ask your dr to explain it if you are still concerned. ...Read more

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Resting EKG showed minor t wave abnormalities. Poss inferior ischemia but exsersise EKG (stress test) was normal. Been having chest pain. Heart ultrasound done 1 mth ago was normal. What else to do?

Next step: Your next step would be a myocardial perfusion study also known as a "chemical stress test". Regular stress tests have been known to have false negative findings especially in females but, at your age, unless there is a strong family history or other strong risk factors you should be ok. ...Read more

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What could cause transient ST\T wave abnormalities on my EKG...t wave inversion specifically. My EKGs always change some with T inversions.

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

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Can doctors tell me what does left atrial abnormality and repol abnrm ischemia, diffuse leads suggests?

Several things: Laa means that your left atrium is either enlarged, thickened (hypertrophied), or both. Diffuse ischemia is a worrisome reading on an ekg and means you need further evaluation. An imaging stress test (with either echo or nuclear medicne) is the usual next step. Good luck. ...Read more

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Always had abnormal ECG due to inverted Twaves last ECG said ST & Twave abnormality, consider Anterior ischemia cant rule out inferior infarct. Worry?

Depends: You list "stress echocardiography" - was this normal? It's a much more accurate test than just an ordinary, resting EKG. If your stress echo was normal, forget the EKG but remember to always warn future doctors that you have a "normal funky-looking EKG" so they don't worry. ...Read more

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Resting EKG showed non sprsifuc t wave inversions. Suggesting possible ischemia. But exercise ekg. Was completely normal. Should I worry? I have hbp

Low worry: Nonspecific ECG finding are commonly found.
If a person with a baseline ECG abnormality has clinical symptoms which may represent heart disease, a stress test is frequently done to evaluate the symptom. If the stress test is normal, the likelihood of worrisome heart disease is statistically low. ...Read more

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Ecg: flat t wave. Echo: ef 60%. Basis on this diagnosis is ischemia. Being asked to undergo stent placement? Should go for it or not?

Need more info...: Would need to know your symptoms and the results of a stress test to clarify better.

You are right to ask questions. Except in extreme emergencies, one can always ask for a second opinion ...Read more

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St-t wave changes, consider inferolateral ischemia on ecg, echo shows heart good. Doctor said are few heart interruptions. What means? 27 yrs. Thanks

St-t wave changes, consider inferolateral ischemia on ecg, echo shows heart good. Doctor said are few heart interruptions. What means? 27 yrs. Thanks

ST-T wave changes: ST-T wave changes often are non-specific and may not mean anything. There are some ST-T changes that are the hallmark of heart attack, but I doubt this is your case as you echo was normal. Modern computerized ECG machines will always say "consider. .. ischemia" with any ST-T wave abnormality. ...Read more

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EKG came back High Risk Operation. ST Elevation, consider early repolarization, pericarditis or injury. ST&T wave abnormal consider anterior ischemia?

Need further workup: Need to get evaluated for ischemic heart disease
myocardial perfusion scan if done and called for this ischemia, need to further evaluate with cardiac catheterization and or CTA of coronary vessels to clarify the abnormality especially if you are going for a surgical procedure ...Read more

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What can cause a t wave inversion?

T waves: Many things can cause T wave inversion, it is a very nonspecific finding on an ecg. ...Read more

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What leads are normal to have T wave inversion? Are P waves always upright?

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. ...Read more

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What do T wave inversion in the septal leads mean?

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. ...Read more

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

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

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. ...Read more