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I Had An Abnormal EKG With Inverted T Waves In

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Posted on Thu, 28 Nov 2019
Question: I had an abnormal EKG with inverted t waves in avf III and V4 through 6. In 2018 i didn't have it but in 2017 i did. I also had it in 2014. Could this just be a normal thing with my heart? The ER doc got worried and ordered troponin tests which were normal, and all other vlood work was good. BP was 144/96. Family hx of HTN diabetes and high cholesterol.
doctor
Answered by Dr. Ilir Sharka (40 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on icliniq!

I passed carefully through your uploaded ECG and would like to explain that those ECG changes could be due to a structural heart disorder, such as left ventricular hypertrophy (from hypertension) or other.

Inflammatory disorders, like pericarditis (or myopericarditis) could lead to transitory ECG changes as well.

Coming to this point, I would recommend that besides a careful cardiac ultrasound, discussing with your doctor on the possibility of performing a cardiac magnetic resonance imagine test. In such case, it would be possible to clarify whether a structural heart disease, or an inflammatory disorder is the underlying cause of your ECG findings.

Hope to have been helpful to you!

In case of any further questions, feel free to ask me again.

Kind regards,

Dr. Ilir Sharka
cardiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Ilir Sharka (32 minutes later)
Brief Answer:
Opinion as follows:

Detailed Answer:
Hello again!

Thank you for the additional information!

So, a structural heart disorder seems to be present.

The next step would be to investigate for the cause leading to dilated cardiomyopathy. This could be an inflammatory disorder (like previous myocarditis) as I explained you above or a genetic disorder. Anyway several other causes my lead to dilated cardiomyopathy.

It is necessary to discuss with you attending cardiologist on the above mentioned issues.

Regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (3 minutes later)
My LV size is .96 cm. I wasn't told that it was enlarged. How could i have pericarditis?
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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I Had An Abnormal EKG With Inverted T Waves In

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome on icliniq! I passed carefully through your uploaded ECG and would like to explain that those ECG changes could be due to a structural heart disorder, such as left ventricular hypertrophy (from hypertension) or other. Inflammatory disorders, like pericarditis (or myopericarditis) could lead to transitory ECG changes as well. Coming to this point, I would recommend that besides a careful cardiac ultrasound, discussing with your doctor on the possibility of performing a cardiac magnetic resonance imagine test. In such case, it would be possible to clarify whether a structural heart disease, or an inflammatory disorder is the underlying cause of your ECG findings. Hope to have been helpful to you! In case of any further questions, feel free to ask me again. Kind regards, Dr. Ilir Sharka cardiologist