Inferior T Wave Inversion: I noticed... - British Heart Fou...

British Heart Foundation
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Inferior T Wave Inversion


I noticed this on my recent report from the hospital. Guess its not good news , but can't really find out what it means in the long term. After my heart attack and stenting i sort of hoped my heart would at least be working normally, Seems its not so. Really can't get my head round what this means fully - can anyone explain in more detail. Thanks

3 Replies

Im not an doctor, but T wave inversion in leads II III and aVF suggest that you are after MI. Probably nothing that you did not know its normally seen after an MI or if the T wave is dynamic during acute ischaemia


Hi barniecroft,

Medical terminology being written on patients' hospital letters causes so much anxiety! I am testimony to being on the receiving end of many a letter being waved in my direction to explain its meanings!

When someone is diagnosed with a heart attack,an ECG is the first way to identify what part of the heart and which artery is affected. This is so the doctors know where to put the stent. In your case, 'inferior' means the artery that supplies the right side of the heart with its blood supply (the right coronary artery). T wave inversion typically indicates a lack of oxygen to the heart,but this can be there for a while afterwards,while it 'recovers' and the inflammation to the heart muscle settles down. ECGs over time may show this returning to normal.

Now is the time to gradually build up your confidence and fitness level and address any risk factors,as well getting used to the medication .If you are offered cardiac rehab, it would be a really good idea to take it up. You will meet like minded people who will understand how you feel as well as be supported by experienced staff who are very used to helping people like yourself in this situation.

Please feel free to call our helpline if you would like to talk things through with one of the cardiac nurses.

The number is 0300-330-3311. There is someone to talk to Monday- Friday from 9-5.

I hope I've helped.

Take care,


Thanks for the explanation Philippa, much appreciated

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