• female
• 26 Years
• 22/01/2025

Question

I'm 26 and I've been having anxiety symptoms. A couple of months ago, I experienced episodes of sinus tachycardia, and the ECG showed sinus tachycardia with ST and T wave depression in leads II, III, and AVF. I've had more ECGs since then with similar results, but my 2D echo was normal. My doctor suggested a TMT, which returned borderline positive with a low likelihood of significant CAD. During the TMT, METS was 8.8, BP was 15080, and the max heart rate was 187. I didn't feel any chest pain during the exercise. Do you think an angiogram is necessary, and what could be causing those ST and T wave changes?