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Significance of isolated T inversion in lead 3 and V1 -

52 years old Male with history of retrosternal discomfort since 2 hours - not relieved by antacids and PPI . ECG - T inversion isolated in lead 3 , AVF and V1 .Any clinical significance or it is normal

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My doubts are still not clear regarding my query as isolated T inversion in lead 3 , avf and V1 is normal or indicative of ischemia. A Cardiologist opinion would have been better.
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Sir V1 T wave inversion is normal, almost every normal ECG lead has it But what is important There is not only T wave inversion in lead III and aVF but there is significant ST segment depression also Therefore these finding gathers significance It is indicative of inferior wall ischaemia Kindly do Serial ECG cardiac enzymes 2 D ECHO and if required angiography
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Isolated change in single lead has no clinical significance.it is normal.
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An inverted T wave (or waves) occurring in an isolated region of the precordial electrocardiographic (ECG)leads, such as leads V3 and V4, is termed an isolated T wave inversion orisolated T wave negativity (1,2).
My doubts are still not clear regarding my query as isolated T inversion in lead 3 , avf and V1 is normal or indicative of ischemia. A Cardiologist opinion would have been better.
T wave is inverted in V1 and is variable in 3 and avF, it is normal phenomenon. But considering patient's complain and age it will be better to exclude inferior wall ischemia.
Yes this t inversion in L3 avf and v1 is associated with acute repolarisation in v2v3 With retrosternal chest pain suggestive of subendocardial ischimia
ST depression with T inversion in Lead III, avf (Inferior wall Ischemia) Kindly do Tropt T or Trop I
Subtle St depression in Inf leads At present consider Inf wall ischemia Do enzyme ruled out NSTEMI
NORMAL ECG ADV SERIAL ECG BLOOD TROP I
Reeat ecg and send trop i