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.
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.
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.
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Answered byDr. Manish N. Garg
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
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