Significance of Primary T Wave Aberrations in the Electrocardiogram of Asymptomatic Young Men

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Abstract
The electrocardiogram (ECG) at rest and during orthostasis and exercise in 51 healthy men 18–19 years of age without history or symptoms of heart disease, but with T wave aberrations in the ECG (group T) were compared to the normal ECGs of 112 controls of the same age. These aberrations (which litterature suggests to be due to organic heart disease) consisted of either a notch in the T wave, especially in the midprecordial leads, that sometimes became inverted, or a low T wave without concomitant ST depression. The T wave aberrations at rest in group T were similar to what 25 % of the controls evidenced during orthostasis (group B). Both group T and group B had signs of increased sympathetic tone at rest with a higher heart rate and systolic blood pressure than did the subjects with normal ECG both at rest and during orthostasis. These T wave aberrations disappeared for the majority during exercise. Both group T and group B had prolonged QTc intervals. Group T had increased R wave amplitudes which did not correlate to the severity of the T wave aberration or to systolic blood pressure. Our opinion is that primary T wave aberrations in the majority of these young men were because of increased sympathetic tone.