inverted t-wave
Started by thenderson
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Very true. Additionally, if it's in III, it could also signify a PE. However, I don't know off-hand how often you would get an isolated T wave inversion in III without the other EKG changes in PE (marked S wave in I and Q wave in III).
Obviously not thinking too well during the wee hours of the morning and only marginally better now that it's after lunch. 😀
Obviously not thinking too well during the wee hours of the morning and only marginally better now that it's after lunch. 😀
As Skrubz pointed out, the S1Q3T3 phenomenon may be seen in PE or any condition that causes acute cor pulmonale. As to your original question- T-waves are the most non-specific and most labile aspect of the ECG. T-waves are always inverted in aVR. There is a long differential for T-wave inversion in the leads in which T-waves are normally upright (I, II, V3-V6) and includes ischemia, myocarditis, pericarditis, chest trauma.... Also remember that for it to be really significant it must be in more than one lead. Hope this helps. Crypt
the reason i ask is because i had an ekg and the results showed t-wave abnormalities that were diffuse and nonspecific (-.10mV ANT/LAT/INF) i have also had echos., nuclear stress test, cardiac MR, chest x-rays, holter test and everthing has come back normal....the doctor told me that the inverted t-wave was nothing to worry about .....any thoughts? i could scan the copy of the ekg is anyone would like to see it...
Dosen't inverted t wave usually indicate some kind of tissue damage? Or electrolytes...EKG's can change, maybe get it done again? I have never seen a problem with an inverted T wave (and nothing else), though, in my limited scope. Was there a reason you got the EKG? Sounds like you got the whole cardiac work up.hypo777 said:
thenderson said:
This is the last place you want to get your medical advice from! Also, it is against TOS.
That aside, deep inverted T waves can also be a sign of intracranial hemorrhage. Cardiac wise, it can be non-specific changes (benign), ischemia, electrolytes, etc. Interpretation depends on the clinical scenario. For example, a person with chest pain and new isolated inverted T waves will be looked at more closely for CAD. If the inverted T waves are old, there is as much concern about CAD, but the patient will get further workup anyway. If the person has mental status changes with deep inverted T waves, he will be getting his head scanned and a neurosurg consult.
hypo777 said:
Wow - way to bump up a 2.5 year-old thread!
But since the purpose of this forum is not for soliciting medical advice, this thread is being closed.
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