What EKG changes are typically observed in patients with angina?

In patients with angina, the EKG changes often observed include downsloping ST segment depression and T wave changes such as peaking or inversion. Downsloping ST segment depression typically indicates myocardial ischemia, which is a hallmark of angina, particularly during episodes of increased myocardial oxygen demand, such as during physical exertion or stress.

The T wave may become peaked initially due to transient ischemia, followed by inversion if the ischemia persists. These changes are significant as they reflect the reversible nature of ischemic events commonly associated with angina rather than a complete occlusion leading to more severe conditions like myocardial infarction.

Other choices reference EKG patterns that are more indicative of acute myocardial infarction or other cardiac conditions, but the typical presentation of angina is characterized by the subtle yet telltale signs reflected in option B.