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ECG showed inverted T wave. What does it mean? - Online Doctor Chats

Date : 06-Jun-2013
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:Dr XXXXXXX here
Doctor:How can I help you?
User:Today I had My medical report, in ECG column they have told T wave inversion in V2 and V4 what does that mean. I am 44 years old.
Doctor:May I know if this was as said by the doctor's report or as mentioned in the ECG strip?
User:They have written on the ECG report, still I have not consulted the Doctor
Doctor:Let me brief you.
Doctor:ECG machine reads electrical activity based on the position of ECG leads
Doctor:and very common we find variations on the strip due to physical conditions, respiratory movements and so on.
Doctor:So unless verified by a doctor, the readings on the ECG strip is not confirmatory.
Doctor:For information sake alone,
User:So I should consult the Doctor
Doctor:T wave inversion on V2 to V4 leads represent old ischemic changes of the interseptal wall of the heart.
Doctor:Meaning it refers that you may have suffered a minor heart attack in the past.
Doctor:I would suggest you to take a formal report of the ECG from a doctor.
Doctor:The formal report of the ECG is the confirmatory report of the ECG. Readings on the ECG strip is a computer based interpretation of the findings which as described may not be accurate.
Doctor:Have you followed?
User:ECG report from the doctor means where should I get is done.
Doctor:You could ask the laboratory/hospital/clinic from where you got the ECG to give you the formal report of the ECG.
Doctor:They should do be able to do that.
User:Is something major should I get it done knwo only
Doctor:Based on the computer based interpretation, it's not urgent.
Doctor:However if the findings are confirmed, i would like you to be on aspirin based medications in future.
Doctor:So whenever feasible, try contacting the centre for official / formal reports of the ECG.
Doctor:Hope it is clear to you.
User:but I am not feeling any uneasyness when I am walking or doing some thing and my Cholestrol is normal.
Doctor:That's good to know.
Doctor:As I discussed, the computer based interpretations may be wrong.
Doctor:hence please confirm this with a doctor.
User:May I what are the symptons of any Heart Attack
Doctor:Heart attack typically presents as chest pain with or without breathing difficulties, sweating, palpitation, feeling of doom and other anxiety issues.
Doctor:Atypical presentation are varied.
User:None of the symptoms I have undergone for the past five years.
Doctor:I understand your concern and it is highly possible that you did not suffer any heart attacks.
Doctor:May I know the reason why the ECG was performed?
User:We haveAnnual medical Checkup,that how I got this report.
Doctor:Where was it done?
User:We had corportate Health Checkup at our Office and it was done by SRL Lab
Doctor:Do you receive any final summary of the Health check up?
User:Yes I have recevied the summarised report.
Doctor:Most probably the final impression of ECG would have been specified in that report.
User:and it report they have advised to repeat ECG
Doctor:Can you send us the scanned ECG report by mail to us.
Doctor:You can mail the ECG to YYYY@YYYY
User:To which mail Id should I send
Doctor:Please mention as ATTN: Dr XXXXXXX in the subject line.
User:Thanks, Should I address to you Docto
Doctor:I shall get back to you via a phone call in a hour. (if that is ok with you)
User:Fine thanks. I will mail you my reports.
Doctor:Thanks for consulting me.
Doctor:I will get back to you once I receive the report.
User:Thank You
Doctor:Bye for now.
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