So my echo came up normal also. At this point the cardiologists says that we are done with any cardiac tests. I am still concerned by the unknown cause of the t-wave inversion. My chest pain lasted for 3 weeks and now has significantly subsided. I am thinking about at least checking with another cardiologist for peace of mind. Any suggestions/leads to follow for these symptoms are welcomed. Take care.
Yes, you have had the appropriate test. Your chest pain can be due to tenderness or sensitivity of the cartilage that joins the rib cage to the sternum. Keep us informed, take care.
Thank you so much for the reply.
I am assuming that the perfusion stress test is the same as the nuclear stress test I was administered? That test came back normal. There were no other abnormalities in the EKG. The echo test is scheduled for this Friday. What worries me at this point is the fact that I still have some pain under the sternum - of course it could also be stress and anxiety from this whole situation.
When viewing an EKG, other wave forms are evalutated as well for an assessment of the test outcome all of the waves are evaluated, not just one in particular. And apparently, the rest of the waves on the EKG appeared normal to rule out any sort of defect,
For some insight, the T wave on an EKG represents resetting of the electrical heart cells in the bottom chambers of the heart and will be discharged causing contractions.
Your doctor will also rule out inverted T waves causes such as partially blocked or blocked vessls, heart attack, and list of other possible causes are "anxiety, certain medications, infections around the heart, pulmonary embolus (blood clot in the lung), electrolyte disturbance (abnormalities in sodium, potassium levels) etc."
Test to rule out ischemia (blocked vessels) is a perfusion stress test. A contrast medium is injected into the blood stream and the vessel with any blockage would clearly be visable with exertion on a monitor. If there has been a heart attack, dead tissue would be recognized. Also, an echocardiogram can determine if there has been a prior heart attack as well as infection around the heart (pericarditis). Pulmonary embolus can be detected with a cath to measure pressure of the pulmonary artery. Blood tests for electrolyte imbalance.
Whether other tests are of interest for a possible dx would be based on your symptoms, etc. and a doctor's concern there may be a medical problem.
Hope this helps, and if you have any further questions you are welcome to respond. Thanks for the question, take care.