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ECG Report Showed T Wave Inversion In V2 - V4. What Does That Mean?

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Posted on Thu, 15 Nov 2012
Question: Hi Doctor
I have recevied my annual Check up report , In ECG report they have written T Wave inversion in V2 - V4, what does that mean.
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Answered by Dr. Saurabh Gupta (22 minutes later)
Hello XXXXXXX,
Thanks for posting your query.

Inverted T waves on their own are not indicative of a heart problem. One common cause of inverted T waves is anxiety!

#1 Inverted T waves or ST depression usually mean ischemia in the area of the heart associated with that lead. In other words, enough oxygen deprivation to cause irritation, but not permanent damage - the beginning of an MI (Myocardial Infarction).

#2 Reciprocal changes are opposite changes in leads across the heart. Anterior leads may show ST elevation, with posterior leads showing ST depression.

A doctor skilled in reading an EKG (Electrocardiogram) will look for other abnormalities in the EKG when seeing an inverted T wave. If there is none, then it is generally not considered a clinical factor.

Hope I have answered your query. Let me know if you have any more concerns.

Please accept my answer in case you do not have further queries.

Wishing you good health.
Regards.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Saurabh Gupta

Orthopaedic Surgeon, Joint Replacement

Practicing since :2004

Answered : 5930 Questions

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ECG Report Showed T Wave Inversion In V2 - V4. What Does That Mean?

Hello XXXXXXX,
Thanks for posting your query.

Inverted T waves on their own are not indicative of a heart problem. One common cause of inverted T waves is anxiety!

#1 Inverted T waves or ST depression usually mean ischemia in the area of the heart associated with that lead. In other words, enough oxygen deprivation to cause irritation, but not permanent damage - the beginning of an MI (Myocardial Infarction).

#2 Reciprocal changes are opposite changes in leads across the heart. Anterior leads may show ST elevation, with posterior leads showing ST depression.

A doctor skilled in reading an EKG (Electrocardiogram) will look for other abnormalities in the EKG when seeing an inverted T wave. If there is none, then it is generally not considered a clinical factor.

Hope I have answered your query. Let me know if you have any more concerns.

Please accept my answer in case you do not have further queries.

Wishing you good health.
Regards.