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What does Fresh T waves in V1 to V4 indicate in an ECG report?

Dr Neeraj Bhalla
Interventional cardiologist,
Max Heart & Vascular Institute,
New Delhi

Q: What does Fresh T waves in V1 to V4 indicate in an ECG report? What should be the treatment?

A:Fresh T inversion V1 to V4 is an ECG finding that should warrant a search for the cause. At your age, the causes could include coronary artery disease and hypertension as the most common. Further investigation in the form of Echocardiography and a stress test are indicated. Depending on the cause found, the treatment would be directed towards that.