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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Stomach Ache, Diarrhoea. ECG Showed T Inversion. Cause? Repeat ECG?

Hi Doc, I am 31 years old female from Asia with 2 kids of age 5 and 1 year old. I have stomach ache for past 5 days and started diarrhea 3 days ago. 2 days ago I met doc, he does the ECG and said that my ecg shows T inversion at lead JJ,JJJ,AVF,V1,V2,V3. at same time i have low blood pressure 99/60. Continue blood test with normal cardiac enxyme. Today i feel better and stomach ache an diarrhea also seems to be better. What cause my ecg not o looks normal? Should i worry on this abnormal ecg and repeat again. Need guidance.
Tue, 19 Feb 2013
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Internal Medicine Specialist,  's  Response
Hi,
Thanks for posting your query.
T wave inversion in defined leads may be a normal variant or part of inferolateral ischemia (as per defined leads).
T wave inversion more than or equal to 3 mm is highly suggestive of ischemic changes.
As such there is no correlation between gastroenteritis and persisting t wave inversion.
You should go for serum electrolytes, stress test.
Stress test will guide for the utility of coronary angiography and 2 D echo.
Electrolytes imbalance may also cause T wave inversion.
You can go for repeat ECG after recovery from gastroenteritis.
Take care,
Dr. Mayank Bhargava
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Had Stomach Ache, Diarrhoea. ECG Showed T Inversion. Cause? Repeat ECG?

Hi, Thanks for posting your query. T wave inversion in defined leads may be a normal variant or part of inferolateral ischemia (as per defined leads). T wave inversion more than or equal to 3 mm is highly suggestive of ischemic changes. As such there is no correlation between gastroenteritis and persisting t wave inversion. You should go for serum electrolytes, stress test. Stress test will guide for the utility of coronary angiography and 2 D echo. Electrolytes imbalance may also cause T wave inversion. You can go for repeat ECG after recovery from gastroenteritis. Take care, Dr. Mayank Bhargava