Juvenile ECG pattern in adult black arabs

Assali, Abid-Rahim; Khamaysi, Naif; Birnbaum, Yochai

doi:10.1016/s0022-0736(97)80014-3

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…However, T-wave inversion in leads V 1 to V 3 is a normal finding in children and young women, especially African American women. 18 This juvenile pattern (asymmetric negative T wave) should not be confused with post ischemic changes, which usually presents with symmetric negative T waves.…”

Section: Small Inverted T Waves In V 1 To Vmentioning

confidence: 99%

Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report

Birnbaum

Luna

Fiol

et al. 2012

Journal of Electrocardiology

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Section: Small Inverted T Waves In V 1 To Vmentioning

confidence: 99%

Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report

Birnbaum

Luna

Fiol

et al. 2012

Journal of Electrocardiology

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“…This pattern of ''domed'' STE in the right precordial leads may be seen in adolescent and young adult males of Afro-Caribbean heritage, but is not common otherwise (8). PJTWP is more often found in women (4,9,10). Similar to other repolarization abnormalities, PJTWP is seen more often in patients of Afro-Caribbean heritage (6,(10)(11)(12).…”

Section: Discussionmentioning

confidence: 82%

“…PJTWP is more often found in women (4,9,10). Similar to other repolarization abnormalities, PJTWP is seen more often in patients of Afro-Caribbean heritage (6,(10)(11)(12). A number of ECG variants have been described in highly trained athletes, and although some research suggests that anterior T-wave inversions are likely training related, other studies have not confirmed this (13)(14)(15)(16).…”

Section: Discussionmentioning

confidence: 97%

“Persistent Juvenile” T-Wave Pattern May Not Be Persistent: Case Series and Literature Review

Walsh

Smith

2015

The Journal of Emergency Medicine

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“…40 , 67 , 68 Contemporary literature supports the view that the juvenile pattern is more common in blacks than whites, 69 , 70 , 71 , 9 and more often in females than males, 72 and is especially common in black females. 59 , 69 Lastly, this pattern is not clearly related to strenuous athletic training, 73 , 74 although the evidence is mixed. 70 Clinical relevance: The juvenile pattern resembles arrhythmogenic right ventricular cardiomyopathy.…”

Section: The Persistent Juvenile T Wave Patternmentioning

confidence: 97%

Distinctive ECG patterns in healthy black adults

Walsh

Macfarlane

Prutkin

et al. 2019

Journal of Electrocardiology

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Six ECG patterns are found more frequently in healthy black adults than in whites. These patterns are presumably benign, but also may resemble those of malignant disease. 1) Healthy black adults show higher QRS voltage, and more often meet ECG criteria for left ventricular hypertrophy (LVH). Associated repolarization abnormalities can produce ST segment elevation (STE) that resemble ST elevation MI (STEMI). 2) The pattern of benign anterior STE, seen often in males, is more common in black subjects. Similar to LVH, this pattern may falsely suggest STEMI. 3) Both early repolarization (ER) and benign inferolateral STE are more common in black patients. Although they may convey a higher risk of fatal arrhythmias or cardiac death in white populations, it does not appear that black subjects with these patterns show a similar risk.4) The persistent juvenile T wave inversion pattern shows asymmetric T wave inversion (TWI) in V1-V4, without ST segment deviations. It is most common in black females, and is considered benign. However, this pattern can also resemble the anterior TWI of arrhythmogenic right ventricular cardiomyopathy (ARVC). 5) A pattern of anterior TWI with associated J point elevation is a common finding in the black population, especially athletes. It could suggest hypertrophic cardiomyopathy, but can be presumed to be a benign finding in black athletes, when TWI is limited to V1-V4 and preceded by J point elevation. 6) TWI in the lateral precordial leads, usually associated with end-QRS slurring or notches is seen much more often in apparently healthy black subjects than white subjects. Unlike the anterior TWI pattern, however, it cannot be presumed benign.In conclusion, awareness of these ECG patterns may help to avoid unnecessary diagnostic or therapeutic interventions, but also encourage appropriate investigations.

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Juvenile ECG pattern in adult black arabs

Cited by 5 publications

References 8 publications

Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report

Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report

“Persistent Juvenile” T-Wave Pattern May Not Be Persistent: Case Series and Literature Review

Distinctive ECG patterns in healthy black adults

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