What Does This ECG Report Showing Inferior Wall ST Changes Indicate?

Posted on Thu, 26 Jun 2014

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

Thu, 26 Jun 2014 Answered on

Wed, 16 Jul 2014 Last reviewed on

Question : Hello Doctor
During a routine medical checkup my ECG says "Inferior wall ST changes" what does it means? Is there any serious issue with my heart? All other tests including cholosterol level are normal.

Answered by Dr. Anantharamakrishnan (50 minutes later)

Brief Answer:
You need examination and more investigations

Detailed Answer:
Dear friend,
Welcome to Health Care Magic

It may or may not be an issue…
ECG should NOT be interpreted in isolation – it should be correlated with the total clinical picture.

It could be a normal variant / chamber enlargement / muscle hypertrophy / reduced blood flow / conduction system (nerves) and so on

You need more investigations –
ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots...
TMT – Treadmill exercise ECG; may be with thallium isotope – is necessary to evaluate ischemia (reduced blood flow / Coronary Artery Disease)

Take care
Good luck

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