What Do T Wave Inversions And Flattening Apart From High Heart Rate Indicate In An ECG?

Posted on Mon, 3 Sep 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 3 Sep 2018 Answered on

Sun, 20 Aug 2023 Last reviewed on

Question : Hi sir,
Please opine on attached ECG if there is T wave inversions and flattening. high Heart rate. No other significant ST T changes.

Answered by Dr. Sagar Makode (23 minutes later)

Brief Answer:
Possibility of IHD is there

Detailed Answer:

Hi,

There is T wave inversions in V1-4 and flattening in V5-6. Heart rate is around 95-100 BPM. No other significant ST T changes.

This raises the possibilities of ISCHAEMIC HEART DISEASE, so needs evaluation with echo and if normal then stress tests like Treadmill test or stress thallium or CT coronary angiography.

However, such changes may be seen in Hypertension or even with age especially in females but should be evaluated to rule out ischemic heart disease.

All the best.

Regards

Above answer was peer-reviewed by : Dr. Kampana