Persistent juvenile T-wave pattern: Difference between revisions
Jump to navigation
Jump to search
| Line 46: | Line 46: | ||
* 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> | * 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> | ||
* Juvenile T wave pattern is more commonly found in females than males. <ref name="pmid9141601">{{cite journal| author=Assali AR, Khamaysi N, Birnbaum Y| title=Juvenile ECG pattern in adult black Arabs. | journal=J Electrocardiol | year= 1997 | volume= 30 | issue= 2 | pages= 87-90 | pmid=9141601 | doi=10.1016/s0022-0736(97)80014-3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9141601 }}</ref> | * Juvenile T wave pattern is more commonly found in females than males. <ref name="pmid9141601">{{cite journal| author=Assali AR, Khamaysi N, Birnbaum Y| title=Juvenile ECG pattern in adult black Arabs. | journal=J Electrocardiol | year= 1997 | volume= 30 | issue= 2 | pages= 87-90 | pmid=9141601 | doi=10.1016/s0022-0736(97)80014-3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9141601 }}</ref><ref name="AshcroftMiller1971">{{cite journal|last1=Ashcroft|first1=M.T.|last2=Miller|first2=G.J.|last3=Beadnell|first3=H.M.S.G.|last4=Swan|first4=A.V.|title=A comparison of T-wave inversion, S-T elevation, and RS amplitudes in precordial leads of Africans and Indians in Guyana|journal=American Heart Journal|volume=81|issue=4|year=1971|pages=467–475|issn=00028703|doi=10.1016/0002-8703(71)90360-7}}</ref> | ||
== Diagnosis == | == Diagnosis == | ||
Revision as of 21:54, 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.
- ↑ Assali AR, Khamaysi N, Birnbaum Y (1997). "Juvenile ECG pattern in adult black Arabs". J Electrocardiol. 30 (2): 87–90. doi:10.1016/s0022-0736(97)80014-3. PMID 9141601.
- ↑ Ashcroft, M.T.; Miller, G.J.; Beadnell, H.M.S.G.; Swan, A.V. (1971). "A comparison of T-wave inversion, S-T elevation, and RS amplitudes in precordial leads of Africans and Indians in Guyana". American Heart Journal. 81 (4): 467–475. doi:10.1016/0002-8703(71)90360-7. ISSN 0002-8703.