Dr. Manish N. Garg
Cardiology
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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 have done to evaluate further, which 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 is hypertensive for 15 years and diabetic for the last 10 years. What could be the cause of these changes? Please advice.
Hi,
Welcome to icliniq.com.
Global T-wave inversion carries a 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 coronary angiography to rule out any CAD (coronary artery disease).
Patient's Query
Thank you doctor,
The patient has had radiotherapy for early stage of left side breast cancer six months back. Could radiation cause T-wave inversion and also a rise in triglycerides?
Hi,
Welcome back to icliniq.com.
Yes, radiation to the chest can cause T-wave inversion. Triglycerides if high, then needs to be brought under control. They can be troublesome.
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Cardiology
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