I'm a bit concerned because my ECG results show an inversion in lead 3 and AVF. I don't really have any pain, but I do have high blood pressure. My exercise treadmill test (ETT) came back negative, and my echocardiogram is normal too. So, what's causing these inverted T waves, and should I be worried about it?

Answered by 1 Apollo Doctors

Dr Kareemulla Shaik

General Practitioner

MBBS
0+ Yrs

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The inversion of T waves in lead 3 and aVF on your ECG could be due to various reasons, including but not limited to hypertension. Since your exercise tolerance test (ETT) is negative and your echocardiogram is normal, it is less likely to be related to coronary artery disease. However, it is important to monitor your blood pressure closely and make sure it is well controlled. In this case, medications like Amlodipine 5mg once daily can be prescribed to help manage your high blood pressure and potentially improve the T wave inversion. Regular follow-ups with your healthcare provider are essential to monitor your condition.

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Answered 04/07/2025

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My dad recently had an ECG which turned out normal, but his TMT results showed positive for exercise-induced ischemia. I'm quite worried because his hemoglobin level is really low at 8.8. Do you think he needs an angiogram? I'm not sure what the best next steps are, and would appreciate your guidance.

Correct anemia first then can think to do stress echocardiography....to confirm..but If there are any risk facters like diabetes and hypertension or smoking or obesity or family history & inactive lifestyle...& symptoms of chest pain or breathing difficulty, angiography should be done Anyways need insight on all these & need to see the TMT strips to suggest the next best step.

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I'm worried about my blood pressure and I'm not taking any medication for it right now. My cholesterol level is 209. Is there a way I can get my blood pressure back to normal without using medicine?

Continue same treatment .Salt restricted diet and diet changes ,regular aerobic exercises is recommended..

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