Persistent Juvenile T Wave Pattern

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The T waves in the right precordial leads (V1 through V3) are asymmetrically inverted in childhood and become upright (except for V1 and occasionally V2) by adulthood. In predominantly black women under the age of 40, this juvenile T wave pattern may persist in the absence of cardiac abnormalities.

Examples

ECG Showing Persistent Juvenile T Wave Pattern

Persistent Juvenile T Wave Pattern

Asymmetric T wave inversions of the juvenile T wave pattern in the right precordial leads in a young African American woman.

References

  1. Kaid, K. A., Maqsood, A., Cohen, M., & Rothfeld, E. (2008). Further characterization of the “persistent juvenile T-wave pattern” in adults. Journal of Electrocardiology, 41(6), 644–645. https://doi.org/10.1016/J.JELECTROCARD.2008.08.028
  2. Walsh, B. M., & Smith, S. W. (2015). “Persistent Juvenile” T-Wave Pattern May Not Be Persistent: Case Series and Literature Review. The Journal of Emergency Medicine, 49(6), e165–e172. https://doi.org/10.1016/J.JEMERMED.2015.06.064
  3. Kligfield, P., Gettes, L. S., Bailey, J. J., Childers, R., Deal, B. J., Hancock, E. W., van Herpen, G., Kors, J. A., Macfarlane, P., Mirvis, D. M., Pahlm, O., Rautaharju, P., & Wagner, G. S. (2007). Recommendations for the Standardization and Interpretation of the Electrocardiogram. Part I: The Electrocardiogram and Its Technology A Scientific Statement From the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society Endorsed by… Journal of the American College of Cardiology, 49(10), 1109–1127. https://doi.org/10.1016/J.JACC.2007.01.024