T Wave Inversion

Higher Risk

Your child participated in a cardiac screening with Who We Play For. An ECG was performed and reviewed by a licensed Cardiologist with specific training on reading ECGs according to the International Criteria.

Initial findings of that ECG indicate that secondary testing is necessary.

What does it mean to have an abnormal ECG?

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High Risk ECG Flag

  • Having a high risk flag means the pediatric cardiologist reading the ECG sees an abnormality suggesting a condition that has a higher likelihood of leading to Sudden Cardiac Arrest.

    If you or your child have received a high risk flag, you should schedule an appointment with a pediatric cardiologist as soon as possible.

  • It is recommended by the WWPF Medical Advisory Team that anyone flagged high risk under the WWPF guidelines should be removed from all physical activity and be seen by a pediatric cardiologist as soon as possible.

  • If there was a high risk flag on an ECG, the person should see a pediatric cardiologist right away, but if they are experiencing any of the following symptoms it would be cause for immediate medical attention:

    • Fainting or seizures during or immediately following exercise.

    • Unexplained shortness of breath.

    • Dizziness.

    • Extreme fatigue.

    • Racing heart (feels like it is beating out of your chest).

    • Sudden and unexplained death of a family member under the age of 50.

    If you experience any of these symptoms get an appointment with a pediatric cardiologist right away.

What is T Wave Inversion?

T waves represent the electrical recovery (or repolarization) of the ventricales, the lower chambers of the heart, after a contraction, or heartbeat. T wave inversion can be an indicator of heart disease.

Ethnicity plays a role in diagnosing T wave inversion. Studies have found that men and women of African origin have a greater prevalence of T wave inversion than whites.

Because T wave inversion might be a predictor of future disease, even if your child is cleared for participation now, he or she should get an annual exam with an ECG and Echocardiogram.

Consultation with a Cardiologist is recommended for secondary testing to determine your child's continued participation in sports and activities.

Diagnosis:

TWI: Whites: greater than or equal to 1mm in leads other than III, aVR, and V1/2. Blacks: Inferior or lateral lead TWI warrants follow up

Family History: Review family history

Consult: Pediatric Cardiologist

Secondary Test Might Include:

  • Echocardiogram

  • Stress Test

  • Cardiac MRI

Your child should not participate in activities in any way until you seek the advice of a Specialist for a more detailed examination.

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