What Does "new Quadrant III And AVF T-wave Changes" Mean In An ECG Report?

Posted on Mon, 23 Jun 2014

Question: I recently had an ECG for a work physical and although the report came back normal it mentioned that I have "new quadrant III and AVF T-wave changes, and morphology change AVL" when compared to previous ECG's. I showed this to my primary doctor and she said the changes look to be very little. I have been experiencing heart palpitations daily for a few months and I had assumed they were related to my GERD, now I am very confused. What is the liklihood of these ECG changes being related to heart problems? YYYY@YYYY

Answered by Dr. Venkat Sivayogi (1 hour later)

Brief Answer:
nothing to be concerned

Detailed Answer:
Hello,
Welcome to Healthcare Magic,
First of it, there is nothing to be panic on your ECG report. because its nothing abnormal. Just considering little T wave changes we can not ocnclude that a patient is having heart disease.

I do see a lot of cases in my clinic with T wave changes but i end up nothing abnormal detected in heart. Because T wave changes can be seen in obese patients, poor electrical signal conduction cases.

Next coming to the alarming thing in the ECG finding - if you find acute ST-T wave changes, whether they are elevations or depressions which is a major concern.

Hope i have cleared your doubt.
if you have any further questions feel free to contact again.
regards,
DR.VENKAT M.D

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar