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Q Wave in the Inferior Leads: There Is More Than Scar

Harilaos Bogossian1,2, Ilias Ninios1, Gerrit Frommeyer3

  • 1Markische Kliniken GmbH, Department of Cardiology and Angiology, Klinikum Ludenscheid, Ludenscheid, Germany.

Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc
|January 30, 2015
PubMed

Insights

Significant Q waves on an electrocardiogram (ECG) often indicate heart pathology. However, circumscribed hypertrophy can mimic these findings, presenting a crucial differential diagnosis for atypical chest pain.

Area of Science:

  • Cardiology
  • Diagnostic Imaging

Background:

  • Q waves on a 12-lead electrocardiogram (ECG) typically suggest underlying cardiac pathology like myocardial infarction, scarring, or accessory pathways.
  • Differential diagnosis for Q waves can be challenging, particularly in cases of atypical chest pain.

Observation:

  • Circumscribed hypertrophy, a less common cause, can also induce significant Q waves.
  • This entity is particularly relevant in younger patients presenting with chest pain.

Findings:

  • The study highlights circumscribed hypertrophy as a potential mimic of pathological Q waves on ECG.
  • Accurate identification is crucial for appropriate patient management.

Implications:

  • Considering circumscribed hypertrophy can prevent misdiagnosis of cardiac ischemia or infarction.
  • This awareness may help avoid unnecessary invasive procedures in patients with atypical chest pain.

Keywords:
Q wavehypertrophyinferior leads

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