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. Author manuscript; available in PMC: 2016 Aug 1.
Published in final edited form as: Heart Rhythm. 2015 Apr 11;12(8):1852–1866. doi: 10.1016/j.hrthm.2015.04.014

Table 4.

Differential diagnosis of J wave vs. Intra-ventricular conduction defect-mediated notch syndromes. (IVCD)

J wave IVCD-induced end QRS notch
Male Predominance Yes No
Average Age at Initial Presentation Young adults Older adults
Most common Morphology dome-like smooth appearance Relatively sharp appearance
Response to Change in Heart Rate Bradycardia- and pause-dependent augmentation of J wave which may be accompanied by T wave inversion. Tachycardia and prematurity-dependent augmentation of the notch
Structural Heart Diseases Rare Common History of myocardial infarction and/or cardiomyopathy