tag:blogger.com,1999:blog-549949223388475481.post6473932236055317677..comments2024-03-19T02:33:29.499-05:00Comments on Dr. Smith's ECG Blog: Benign T-wave Inversion: view video or read textUnknownnoreply@blogger.comBlogger32125tag:blogger.com,1999:blog-549949223388475481.post-91510070440136795752021-05-04T10:38:29.077-05:002021-05-04T10:38:29.077-05:00I would say, without hard data, that if it is very...I would say, without hard data, that if it is very deep it is due to LVH, HOCM, or ischemia. But what is the definition of very deep? Look at these examples.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-88109584448516460872021-04-12T15:40:55.173-05:002021-04-12T15:40:55.173-05:00What the the stress test gonna reveal if thats pat...What the the stress test gonna reveal if thats pathological biphasic T wave? Like shall i see ST elevation for example or what ? Thank u Dr Smith Minahttps://www.blogger.com/profile/10118372291657179808noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-44818338766264882012021-04-12T15:38:24.124-05:002021-04-12T15:38:24.124-05:00Can i ask the depth of the T wave inversion says s...Can i ask the depth of the T wave inversion says something or not specific to anything? Like can someone have deep T wave inversion and be benign not pathological? ThanksMinahttps://www.blogger.com/profile/10118372291657179808noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-77366071763307997482021-04-12T15:33:44.884-05:002021-04-12T15:33:44.884-05:00Hey Dr. Smith , u did great job in educating us in...Hey Dr. Smith , u did great job in educating us in ECGs and the cases thank u Sir<br /><br />I had question , difference betwern Accelerated Idioventricular rythm and Interventricular conduction defect , and are both benign and needs no ttt?<br /><br />Also wanted to ask , can T wave inversions be a sign of new ischemia without ST depression? And should one worry if it is in single lead? I read that T wave inversion can be normal variant in lll and avf and avl<br /><br />Last question and am sorry , what if one with BER or BTWI presented with Acute coronary syndrome , what his ECG will look like then ? Like his BER and BTWI can lead me astray if he develops Acute MI right? Sorry for asking too much Minahttps://www.blogger.com/profile/10118372291657179808noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-37789689564294126592020-05-07T10:53:57.057-05:002020-05-07T10:53:57.057-05:00Hi. In my opinion — it is IMPOSSIBLE to answer the...Hi. In my opinion — it is IMPOSSIBLE to answer the question of whether "T wave inversion in just 1 lead = lead 3 is benign or not" UNLESS you: i) Know the context in which this T wave inversion occurs; and ii) See the ACTUAL ECG itself — because there may be other subtle abnormalities that I might see that perhaps you did not AND/OR we need to know what the frontal plane axis is; what lead aVL looks like; whether there is incomplete or complete RBBB, etc. Feel free to send the tracing to our contact E-mail address (near the top of the righthand column) together with the clinical history — :)<br />ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-3021200709018397872020-05-07T09:56:09.206-05:002020-05-07T09:56:09.206-05:00Steve smith sir hi, t wave inversion in just one l...Steve smith sir hi, t wave inversion in just one lead 3 is it benighn.Anonymoushttps://www.blogger.com/profile/10617793276164564237noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-32362187093986464742020-01-10T07:31:22.674-06:002020-01-10T07:31:22.674-06:00That it will not evolve means over hours to days, ...That it will not evolve means over hours to days, as Wellens waves will always evolve. Over months to years evolution is likely.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-45867640400826081892020-01-10T07:28:22.990-06:002020-01-10T07:28:22.990-06:00I think they go away with time, but I do not have ...I think they go away with time, but I do not have proof of this.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-58794167422528189682020-01-03T04:25:02.367-06:002020-01-03T04:25:02.367-06:00Thank you doctor Smith. As you said these all are ...Thank you doctor Smith. As you said these all are benign changes, and do you suspect these changes will remain permanent for ages? or will there be any progressive changes after few years?<br />RS Kumarhttps://www.blogger.com/profile/08278420836495614843noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-22836175309724059992019-12-29T06:45:44.018-06:002019-12-29T06:45:44.018-06:00So it means biphasic t waves in limb leads (lead i...So it means biphasic t waves in limb leads (lead ii,iii and avf) are benign? <br /><br />And one more question Dr.Smith, i have these changes whenever I take ECG, you told it will not evolve , does that mean these chenges remain forever in the ecg?Anonymoushttps://www.blogger.com/profile/18443248938927395265noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-18958616968163930502019-12-25T08:05:26.887-06:002019-12-25T08:05:26.887-06:00As you can see, these examples have all of the abo...As you can see, these examples have all of the above.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-72622431576369518632019-12-25T08:04:31.488-06:002019-12-25T08:04:31.488-06:00SameSameSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-46665659990538004072019-11-14T04:59:42.783-06:002019-11-14T04:59:42.783-06:00Hello Dr.Smith,
What about biphasic T wave inversi...Hello Dr.Smith,<br />What about biphasic T wave inversion in lead ii, iii and avf, and symmetric t wave inversion in precordial leads V3-v6? RS Kumarhttps://www.blogger.com/profile/08278420836495614843noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-54599988051160904722019-11-12T00:51:30.020-06:002019-11-12T00:51:30.020-06:00These are applicable for 18-19 years black men or ...These are applicable for 18-19 years black men or is it the same for 33 years male as well? Anonymoushttps://www.blogger.com/profile/18443248938927395265noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-70531364715150033662019-05-11T08:20:42.313-05:002019-05-11T08:20:42.313-05:00It may be present with benign T-wave inversion.It may be present with benign T-wave inversion.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-67644163231284394162019-05-10T10:15:23.336-05:002019-05-10T10:15:23.336-05:00Dr Smith, t wave inversion in leads III, avf and ...Dr Smith, t wave inversion in leads III, avf and v1 is abnormal or a variable?Anonymoushttps://www.blogger.com/profile/13621770743069244287noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-82280176043028598132019-04-04T12:30:20.939-05:002019-04-04T12:30:20.939-05:00It is a normal finding in BTWIIt is a normal finding in BTWISteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-91632812096558970792019-04-04T03:35:55.014-05:002019-04-04T03:35:55.014-05:00Sir t inversion in 111 and avf. Is it normalSir t inversion in 111 and avf. Is it normalAnonymoushttps://www.blogger.com/profile/13821349573952675359noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-70926779808280109122018-11-19T10:53:28.316-06:002018-11-19T10:53:28.316-06:00Dr Smith, how to distinguish benign T wave inversi...Dr Smith, how to distinguish benign T wave inversion from T wave inversion due to apical hypertrophic cardiomyopathy? I find them very similar.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-68718921112116759972015-06-08T12:47:53.769-05:002015-06-08T12:47:53.769-05:00send it to: dr.smiths.ecg.blog@gmail.com send it to: dr.smiths.ecg.blog@gmail.com Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-72707382929275759622015-06-04T23:50:28.939-05:002015-06-04T23:50:28.939-05:00I have seen the video but couldn't determine w...I have seen the video but couldn't determine what's wrong in my ECGAnonymoushttps://www.blogger.com/profile/01107909355330930556noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-56608784659456552032015-06-03T07:51:19.715-05:002015-06-03T07:51:19.715-05:00That is variable and I would need to see the ECG y...That is variable and I would need to see the ECG you are referring to. You should watch this lecture on T-wave inversion: http://hqmeded-ecg.blogspot.com/2015/05/new-40-minute-lecture-on-t-wave.htmlSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-85287709222268803982015-06-03T07:21:58.904-05:002015-06-03T07:21:58.904-05:00What if I have T wave inversion in V3 and V4? Is i...What if I have T wave inversion in V3 and V4? Is it normal? If not what could have caused it to be so?Anonymoushttps://www.blogger.com/profile/01107909355330930556noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-5884084222470316742015-06-03T02:41:11.708-05:002015-06-03T02:41:11.708-05:00What if I have T wave inversions in V3 and V4? Is ...What if I have T wave inversions in V3 and V4? Is it normal? If not what is it due to? Anonymoushttps://www.blogger.com/profile/01107909355330930556noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-91808491051502083432014-02-10T06:34:02.965-06:002014-02-10T06:34:02.965-06:00If you're worried, have him do a stress test. ...If you're worried, have him do a stress test. Feel free to send the ECG to: dr.smiths.ecg.blog@gmail.comSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.com