Ventricular fibrillation in a patient with prominent J (Osborn) waves and ST segment elevation in the inferior electrocardiographic leads: A Brugada syndrome variant?

被引：165

作者：

Kalla, H ^{[1
]}

Yan, GX ^{[1
]}

Marinchak, R ^{[1
]}

机构：

[1] Lankenau Hosp, Wynnewood, PA USA

来源：

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | 2000年 / 11卷 / 01期

关键词：

ventricular fibrillation; J (Osborn) wave; sudden unexplained nocturnal death syndrome; amiodarone;

D O I：

10.1111/j.1540-8167.2000.tb00743.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Recurrent ventricular fibrillation was observed in a 29-year-old Vietnamese man who did not exhibit structural heart disease. The patient's ECG showed prominent J (Osborn) waves and ST segment elevation in the inferior leads that were not associated with hypothermia, serum electrolyte disturbance, or myocardial ischemia, Rate-dependent change in the amplitude of J waves and ST segment elevation also were observed. An implantable cardioverter defibrillator (ICD) was implanted. Adjunctive treatment with amiodarone reduced J wave amplitude, preventing ventricular fibrillation and ICD shocks. Prominent J waves and ST segment elevation in the inferior leads may serve as an important diagnostic sign to detect high-risk individuals with a history of unexplained syncope, ICD implantation plus amiodarone is the treatment of choice.

引用

页码：95 / 98

页数：4

共 26 条

[1] AN ATTEMPT AT ELECTRICAL CATHETER ABLATION OF THE ARRHYTHMOGENIC AREA IN IDIOPATHIC VENTRICULAR-FIBRILLATION [J].