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The faster repolarization of the cardiac action potential causes the tenting of the T waves, and the inactivation of sodium channels causes a sluggish conduction of the electrical wave around the heart, which leads to smaller P waves and widening of the QRS complex.
Causes of T-Wave Abnormality on an EKG. Abnormal T-Waves on an EKG aren't necessarily an indicator of a problem. However, they could cause your doctor to want to do further testing. The heart has its independent electrical systemâ a network of nerves located throughout all its chambers, which mediate electrical impulses that enable chambers to contract in a synchronized rhythm and sequence.