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Could radiation therapy cause T-wave inversion?

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Patient's Query

Hi doctor,

The patient is a 65-year-old hypertensive and diabetic female with T-wave inversion V1 to V6 on ECG. ECHO and TMT were done to evaluate further, and it was reported to be normal. The patient is on Metformin XR and Tazloc-H. The patient is asymptomatic. Six months back, ECG did not show these changes. She has been hypertensive for 15 years and diabetic for the last 10 years. What could be the cause of these changes? Please advise.

Thank you.
Answered by Dr. Manish N. Garg

Education:

MBBS

Professional Bio:

Dr. Manish N. Garg is a Cardiothoracic surgeon with 18 years of clinical experience. He completed his MBBS from Gordhandas Sunderdas Medical College in 2005. He studied MS in General Surgery at B.J Medical College in 2010. He completed his MCh in Cardiovascular and Thoracic Surgery from Topiwala National Medical College in 2013. He studied DNB in Cardiothoracic Surgery from the National Board of Examinations in 2014. He is currently practicing in Mumbai.

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Hi,

Welcome to icliniq.com.

Global T-wave inversion carries very little significance (attachment removed to protect patient identity). I would suggest repeating the ECG (electrocardiogram) again in six months if the patient is asymptomatic. If otherwise, you can get a CT (computerized tomography) coronary angiography to rule out any CAD (coronary artery disease).

I hope this helps.

Please revert so I can assist you further.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

The patient has had radiotherapy for the early stage of left-side breast cancer six months back. Could radiation cause T-wave inversion and also a rise in triglycerides?

Thank you.

Answered by Dr. Manish N. Garg

Education:

MBBS

Professional Bio:

Dr. Manish N. Garg is a Cardiothoracic surgeon with 18 years of clinical experience. He completed his MBBS from Gordhandas Sunderdas Medical College in 2005. He studied MS in General Surgery at B.J Medical College in 2010. He completed his MCh in Cardiovascular and Thoracic Surgery from Topiwala National Medical College in 2013. He studied DNB in Cardiothoracic Surgery from the National Board of Examinations in 2014. He is currently practicing in Mumbai.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Yes, radiation to the chest can cause T-wave inversion. Triglycerides, if high, then need to be brought under control. They can be troublesome.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At September 27, 2016
Reviewed At September 26, 2024

Education:

MBBS

Professional Bio:

Dr. Manish N. Garg is a Cardiothoracic surgeon with 18 years of clinical experience. He completed his MBBS from Gordhandas Sunderdas Medical College in 2005. He studied MS in General Surgery at B.J Medical College in 2010. He completed his MCh in Cardiovascular and Thoracic Surgery from Topiwala National Medical College in 2013. He studied DNB in Cardiothoracic Surgery from the National Board of Examinations in 2014. He is currently practicing in Mumbai.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

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Radiation Therapy and T-wave Inversion Awareness Builder

Concerned about T-wave inversion after radiation?

Five quick questions help you understand the significance of T-wave inversion, especially after radiation therapy, and when to consult a doctor.

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Dr. Manish N. Garg
Dr. Manish N. Garg

Cardiology

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Education:

MBBS

Professional Bio:

Dr. Manish N. Garg is a Cardiothoracic surgeon with 18 years of clinical experience. He completed his MBBS from Gordhandas Sunderdas Medical College in 2005. He studied MS in General Surgery at B.J Medical College in 2010. He completed his MCh in Cardiovascular and Thoracic Surgery from Topiwala National Medical College in 2013. He studied DNB in Cardiothoracic Surgery from the National Board of Examinations in 2014. He is currently practicing in Mumbai.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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