title: Q Wave in the Inferior Leads: There Is More Than Scar.
abstract: Q waves can regularly be observed in the 12-lead electrocardiogram either due to heart axis underlying pathology such as subacute myocardial infarction, myocardial scar, or accessory pathways. Rarely, other entities such as circumscribed hypertrophy can induce significant Q wave and represent an important differential diagnosis especially in younger patients. In the setting of atypical chest pain determination of the correct diagnosis can be challenging. Therefore, circumscribed hypertrophy should be taken into account to avoid unnecessary invasive procedures.
authors: Markische Kliniken GmbH, Department of Cardiology and Angiology, Klinikum Ludenscheid, Ludenscheid, Germany.|University Witten/ Herdecke, Witten, Germany.
authors: Harilaos
authors: H
authors: Bogossian
authors: Markische Kliniken GmbH, Department of Cardiology and Angiology, Klinikum Ludenscheid, Ludenscheid, Germany.
authors: Ilias
authors: I
authors: Ninios
authors: Division of Electrophysiology Department of Cardiovascular Medicine, University of Münster, Münster, Germany.
authors: Gerrit
authors: G
authors: Frommeyer
authors: Markische Kliniken GmbH, Department of Cardiology and Angiology, Klinikum Ludenscheid, Ludenscheid, Germany.
authors: Dejan
authors: D
authors: Mijic
authors: Markische Kliniken GmbH, Department of Cardiology and Angiology, Klinikum Ludenscheid, Ludenscheid, Germany.
authors: Fuad
authors: F
authors: Hasan
authors: Markische Kliniken GmbH, Department of Cardiology and Angiology, Klinikum Ludenscheid, Ludenscheid, Germany.
authors: Dirk
authors: D
authors: Bandorski
authors: Division of Electrophysiology Department of Cardiovascular Medicine, University of Münster, Münster, Germany.
authors: Lars
authors: L
authors: Eckardt
authors: Markische Kliniken GmbH, Department of Cardiology and Angiology, Klinikum Ludenscheid, Ludenscheid, Germany.
authors: Bernd
authors: B
authors: Lemke
authors: Markische Kliniken GmbH, Department of Cardiology and Angiology, Klinikum Ludenscheid, Ludenscheid, Germany.|University Witten/ Herdecke, Witten, Germany.
authors: Markus
authors: M
authors: Zarse
mesh_terms: D000328:Adult; D002921:Cicatrix / Q000175:diagnosis; D004562:Electrocardiography; D005260:Female; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis* / Q000209:etiology*; D009203:Myocardial Infarction / Q000175:diagnosis
keywords: Q wave; hypertrophy; inferior leads
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