Could I have a heart problem if I have a heavy heart, weary legs, and ECG T Wave inversion?
My mother 70 years old feel heavy and weary legs. Below is her ECG result that was performed 3 months ago (before eye Cataract surgery). One note in ECG is T wave inverted (3rd wave).
She is also slightly overweight and consumes hypertension medication for years.
Many thanks in advance.
I fully agree with Drs Ethan and Dr Tan. Your mother will definitely benefit from a through review by her family physician.
Though I suspect the T wave inversion to be probably secondary to longstanding hypertension and possible thickening of muscle (LVH with strain pattern).
Also of note, T wave inversion can be seen frequently in the inferior leads (i.e. lead III and aVF) and does not always indicate pathology.
A repeat ECG with deep inspiration and expiration may be useful to demonstrate if the T wave inversion is dynamic.
Yes, ischemia can cause these changes sometimes, but is more sudden in onset generally and depends on presentation and other risk factors.
An echocardiogram will indicate changes of hypertension with thickened muscle causing both ECG changes and also swelling in legs (with age and hypertension the heart muscles are a bit stiff...
As Dr Yan Yuan suggested, I’d strongly suggest that she visit a GP for a formal consultation.
As pointed out, she has clear risk factors for heart disease, especially in the context of experiencing symptoms such as a heavy heart and fatigue.
It’s worth noting that certain ECG abnormalities can be non-specific.
I’d still suggest for you to bring the actual recording of the old ECG down for the consultation (as well as all her other old medical notes/laboratory results) – it’s very helpful for the doctor to compare any current ECG readings against the old one that was taken.
He may go on to suggest an exercise treadmill test, which is a commonly used screening test for patients with risk factors for heart disease.