JACC. Case reports · 2026
Pathological Q Waves in a Young Patient Without Ischemic Heart Disease.
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Figueroa-Galván Felipe Sebastián, Alanís-Naranjo José Martín, González-Najera María Fernanda, Sáenz-Ordóñez Edgar Alejandro, García-Romero José David, Meave-González Aloha, Cruz-Marmolejo Miguel Ángel
Аннотация
BACKGROUND: We present an asymptomatic patient with pathological septal Q waves.
CASE SUMMARY: An 18-year-old asymptomatic man was referred for further evaluation after pathological Q waves were identified on an electrocardiogram performed at his own initiative. Electrocardiography demonstrated sinus rhythm with pathological septal Q waves. Physical examination and laboratory tests were unremarkable.
DISCUSSION: Multimodality cardiac imaging, particularly cardiac magnetic resonance, plays a central role in tissue characterization, differential diagnosis, risk stratification, and therapeutic decision-making in patients with atypical electrocardiographic findings.
TAKE-HOME MESSAGE: Pathological Q waves in young patients often reflect nonischemic heart disease, making advanced cardiac imaging essential to distinguish these findings from myocardial infarction.
CASE SUMMARY: An 18-year-old asymptomatic man was referred for further evaluation after pathological Q waves were identified on an electrocardiogram performed at his own initiative. Electrocardiography demonstrated sinus rhythm with pathological septal Q waves. Physical examination and laboratory tests were unremarkable.
DISCUSSION: Multimodality cardiac imaging, particularly cardiac magnetic resonance, plays a central role in tissue characterization, differential diagnosis, risk stratification, and therapeutic decision-making in patients with atypical electrocardiographic findings.
TAKE-HOME MESSAGE: Pathological Q waves in young patients often reflect nonischemic heart disease, making advanced cardiac imaging essential to distinguish these findings from myocardial infarction.