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Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.
T wave inversion can be caused by the ischemic heart disease.
Also left ventricular hypertrophy can cause this as well.
resting Echo may not be accurate to diagnose any heart muscle damage.
Hence, this EKG findings warrant a stress test for confirmation.
Exercise treadmill stressecho test will be better.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for asking further questions!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/
Thank you for your question, I disagree with above experts opinion, T wave inversions are not always due to ischemia or heart disease, these are normal in females to have T wave inversion in leads V1-V3. Also inversions of less than 0.05mv are not due to ischemia. If you can send me your ECG, then i will be in a better position to tell you how serious these are. Thank you. I am assistant professor in Cardiology working in a tertiary care unit.