Persistent juvenile T-wave pattern: Difference between revisions
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== Epidemiology and Demographics == | == Epidemiology and Demographics == | ||
Juvenile T wave pattern is more commonly seen in black people—it has been shown in 10.8% of black population and 0.3% of white subjects.<ref name="Wasserburger1955">{{cite journal|last1=Wasserburger|first1=Richard H.|title=Observations on the “juvenile pattern” of adult Negro males|journal=The American Journal of Medicine|volume=18|issue=3|year=1955|pages=428–437|issn=00029343|doi=10.1016/0002-9343(55)90223-0}}</ref> | |||
== Diagnosis == | == Diagnosis == | ||
Revision as of 21:06, 15 February 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Synonyms and keywords: Juvenile T waves
Overview
The Juvenile T-wave pattern refers to a normal electrocardiographic variant in which T wave inversions are present in precordial leads V1, V2, and V3 along with an early repolarization pattern. Shallow T-wave inversion is usually found in the right precordial leads (V1-V3) during infancy. T wave then rises upwards during childhood. If this inverted T-wave pattern sustained to adulthood, it is called persistent juvenile T-wave pattern.
Natuarl History, Complications, Prognosis
Juvenile T-waves may persists into adulthood with no adverse sequela.
Differentiating persistent Juvenile T-wave pattern from other causes of T-wave inversion
Persistent juvenile T-wave inversion must be differentiated from other diseases that cause T-wave inversion, such as:
- Arrhythmogenic RV dysplasia should be suspected in this cohort if the T wave inversion persists beyond lead V1 in a post pubertal male athlete
- Cerebrovascular accidents can cause deep widely splayed T waves referred to as cerebral T waves
- Ischemic heart disease including non ST segment elevation MI or prior MI
- Left bundle branch block, it is normal for the T wave to be inverted if the QRS complex is upright
- Pulmonary embolism, particularly in the anterior precordium
Epidemiology and Demographics
Juvenile T wave pattern is more commonly seen in black people—it has been shown in 10.8% of black population and 0.3% of white subjects.[1]
Diagnosis
Electrocardiogram
Treatment
References
- ↑ Wasserburger, Richard H. (1955). "Observations on the "juvenile pattern" of adult Negro males". The American Journal of Medicine. 18 (3): 428–437. doi:10.1016/0002-9343(55)90223-0. ISSN 0002-9343.