T wave inversions on multiple leads.

[DaisyCat73]

I am a 37 year old woman non smoker not overweight and elevated cholesterol.    3 months ago I went to a hospital with chest pain.  They did an ECG,  I did not see the result but the doctor said it was normal.  They did blood test and sent me home.  I did a stress echo 2 months ago which came back normal apart from t wave inversion on lead iii.  After numerous visits to the hospitals and getting told my heart is fine I finally started to feel good.  Then last night I was not feeling well.  I went to the hospital that did my first ECG.  They did an ECG and it came back abnormal with multiple t wave inversions.  I think he said leads V4 and V5  has well as Lead iii.  He said it was the same result as my first ECG.  My question is why didn't the first doctor tell me I had multiple t wave inversions on my first ECG?   EVen though I have seen my cardiologist and he said my heart is perfect I am still worried sick because this doctor tells me I have "ischaemic changes"  Any help ?

[kenkeith]

There are many heart conditions associated with T wave inversion.Left bundle branch block can cause and inverted T waves in leads I, L, and V5-V6.

LBBB In this condition, activation of the left ventricle is delayed, which results in the left ventricle contracting later than the right ventricle.  Usually the lower heart chambers contract at the same time, and if the right side contracts a micro second faster does not usually have any medical significance...also, other segments of the EKG should be abnormal for a more decisive evaluation, and there needs to be other clinical evidence to verify.

Hope this helps, and if you have any further questions or comments you are welcome to respond.  Thanks for sharing, take care,

Ken.