ST segment and T wave alternans in a patient with Brugada syndrome

被引:32
作者
Tada, H
Nogami, A
Shimizu, W
Naito, S
Nakatsugawa, M
Oshima, S
Taniguchi, K
机构
[1] Gunma Prefectural Cardiovasc Ctr, Clin Electrophysiol Lab, Div Cardiol, Gunma 3710004, Japan
[2] Natl Cardiovasc Ctr, Div Cardiol, Osaka, Japan
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2000年 / 23卷 / 03期
关键词
T wave alternans; Brugada syndrome; cibenzoline; propranolol; ST segment;
D O I
10.1111/j.1540-8159.2000.tb06773.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe a patient with Brugada syndrome in whom J point and ST-segment elevation in leads V-1 and V-2 were augmented by atrial pacing and intravenous administration of propranolol or cibenzoline. Significant T wave alternans with a 2:1 appearance of terminal negative T wave was observed in the absence and presence of atrial pacing after the administration of cibenzoline. The cellular mechanism responsible for T wave alternans, beat-to-beat appearance of terminal negative T wave and augmented J point and ST-segment elevation is discussed.
引用
收藏
页码:413 / 415
页数:3
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