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Ask Dr. D. Love Your Own Question
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 18673
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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WHAT DOES IT MEAN WHEN YOUR T SPIKES ARE HIGH ON AN EKG?

Customer Question

WHAT DOES IT MEAN WHEN YOUR T SPIKES ARE HIGH ON AN EKG?
Submitted: 6 years ago.
Category: Medical
Expert:  Dr. D. Love replied 6 years ago.

The primary concern of tall peaked T waves is a higher level of potassium in the blood. It also can occur with poor blood supply, particularly if there are changes in the ST segment. It would be appropriate to have a blood test to check the potassium level.

Customer: replied 6 years ago.
IS IT TRUE THAT THIS CAN ALSO BE A SIGN OF A PAST HEART ATTACK?
Expert:  Dr. D. Love replied 6 years ago.

It can be due to poor blood supply, but an old heart attack would usually cause a Q wave.

Customer: replied 6 years ago.
WHAT CAUSES POOR BLOOD SUPPLY?, I GET CONSTANT PALPATATIONS DAILY AND SOME ACTUALLY HURT.
Expert:  Dr. D. Love replied 6 years ago.

Poor blood supply is caused by cholesterol plaques that deposit in the artery causing a narrowing that obstructs the flow of blood.

Customer: replied 6 years ago.
I WAS TESTED AND MY CHOLESTEROL WAS NORMAL. WHAT ELSE COULD IT BE?
Expert:  Dr. D. Love replied 6 years ago.

Although an elevated level of cholesterol increases the risk for narrowings, it is possible to get cholesterol narrowing with a normal level of cholesterol. It would require further testing to look for narrowings, as well as a blood test to look for an elevated potassium.

Customer: replied 6 years ago.
WILL AN ECOCARDIOGRAM SHOW THAT?
Expert:  Dr. D. Love replied 6 years ago.

No, it would at least require a stress test, which can be include an exercise echocardiogram, but a resting echocardiogram would not be sufficient.