Table 2. The difference between Ito-mediated J wave and Pseudo J wave (i.e. intra-ventricular conduction delay, IVCD).
Ito-mediated J wave | Pseudo J wave | |
---|---|---|
Male predominance | Yes | No |
Age | Young adults | Older adults |
Mechanisms | Early repolarization component | Depolarization abnormality |
Response to heart rate | Bradycardia- and pause-dependent augmentation that may be accompanied by paradoxical T wave inversion | Tachycardia and premature beat-dependent augmentation of the notch |
QRS slur morphology | often occur at the final 50% of R-wave downslope | often occur beyond the final 50% of R-wave downslope |
Upwardly concave ST Elevation | Common | Rare |
Quinidine’s Effect | Reduce the amplitude | no effect |
Structural heart diseases | Rare | Common |
Association of Q wave | Rare | Relatively common |
Association of RBBB | Rare | Relatively common |
Arrhythmic Initiation | Always from a short-coupled premature ventricular beat on T wave | Occurrence of Premature ventricular beats often after T wave |
Types of Arrhythmias | Polymorphic VT or VF | Monomorphic |
All-cause mortality | Not increased | Increased |
RBBB: right bundle branch block, VF: ventricular fibrillation