Borderline EKG with T wave inversions

I am 150 lb 5' 8" and I am a active 20yr old female. I had an ecg done twice. Both have inverted t waves v1-v4. On one of them it says my  vent rate 66bpm  pr interval 168ms  QRS duration 90ms  QT/QTc 408/427 ms  PRT axes 25 37 -6    It also says I have normal sinus rhythm, possible left atrial enlargement, and rsr or qr pattern in v1 suggests right ventricular conduction delay borderline ecg. What exactly does all of this mean? What do I need to do?

It sounds like you have a computer generated print-out, notoriously unreliable. EKGs need to be interpreted by your doctor, together with your other health information, including why you had the EKGs done in the first place.

T-wave inversions can range from a serious condition such as a heart attack due to coronary artery disease (CAD). Assuming you are otherwise healthy, it is VERY unlikely you have had an MI or other major cardiac event and not know about it.

Enlargement of the left atrium of the heart can be caused by a myriad of different disorders that include high blood pressure, obesity or a valve problem to name a few. This is why you need to talk to the doctor who gave you the test, so that he can interpret the results in context with other findings. Otherwise healthy people may have a right bundle branch block and it does not appear to cause any harm. Benign cardiac causes may include a Right Bundle Branch Block (RBBB) or  Juvenile T-wave inversions that may appear in V1, V2, and V3 and can continue into adulthood in some patients.You can also read more about the combination of Left atrial enlargement and RBBB.

Thus, you need to talk to your doctor!

Hope this helps,
Dr T


The ECG changes don't signify anytrhing important and your symptoms are not related to them. 

Hope this helps,

Dr T

Post new comment

The content of this field is kept private and will not be shown publicly.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Allowed HTML tags: <a> <em> <strong> <cite> <code> <ul> <ol> <li> <dl> <dt> <dd>
  • Lines and paragraphs break automatically.

More information about formatting options

This question is for testing whether you are a human visitor and to prevent automated spam submissions.
16 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
By submitting this form, you accept the Mollom privacy policy.