Pediatric Heart Expert Forum
MY 9 YO had twave abnormality on her EKG
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Questions in this forum are answered by pediatric cardiologists, cardiothoracic surgeons and anesthesiologists from The Children's Hospital of Philadelphia. This forum is for questions and support about pediatric heart problems, symptoms and topics such as heart murmurs, palpitations, fainting, chest pain, congenital heart defects (including management and intervention), fetal cardiology, adult congenital cardiology, arrhythmias and pre-participation athletic screening.

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MY 9 YO had twave abnormality on her EKG

Is it common for a 9 year old to have twave abnormalities on and EKG? She has had a history of asthma, but has not had an episode in some time. She has complained of chest pain and sometimes she smothers (I thought it was due to her asthma but she had not had an attack) We are scheduled to see a pediatric cardiologist on June 7. It also stated on her EKG to consider anterior ischemia, is this normal for a 9 year old? She is not overweight, she did have a lung collapse as an infant due to her asthma, could this have anything to do with it?

Thank you,

worried mother
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773637_tn?1327450515
Dear Michelle,

The T wave in an ECG is the electrical signal that indicates the electrical resetting of the ventricles (the lower chambers of the heart).  There can be many reasons for the computer to read the ECG's T waves as abnormal.  And, sometimes it overcalls them as abnormal when they really aren't.  It would be important to have, at minimum, the ECG read by someone who knows how to interpret the study appropriately (and not to depend on the computer reading, which can often be wrong).  Without evaluating her ECG, I cannot say whet is wrong (or not) with the study.  However, we do frequently see the computer call this kind of abnormality when there is nothing wrong.
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