Dynamic changes of 12-lead electrocardiograms in a patient with Brugada syndrome

被引：117

作者：

Matsuo, K ^{[1
]}

Shimizu, W ^{[1
]}

Kurita, T ^{[1
]}

Inagaki, M ^{[1
]}

Aihara, N ^{[1
]}

Kamakura, S ^{[1
]}

机构：

[1] Natl Cardiovasc Ctr, Dept Internal Med, Div Cardiol, Suita, Osaka 565, Japan

来源：

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | 1998年 / 9卷 / 05期

关键词：

idiopathic ventricular fibrillation; Brugada syndrome; RS-T segment; J wave;

D O I：

10.1111/j.1540-8167.1998.tb01843.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Dynamic ECG Changes in Brugada Syndrome. We present a patient with Brugada syndrome in whom 12-lead ECGs were recorded just before and after an episode of ventricular fibrillation (VF). A progressive elevation of both the RS-T segment and J waves just preceding and following the VF, and a close relationship between the amplitude of the RS-T segment and the preceding R-R intervals during atrial fibrillation, were documented, These findings support the hypothesis that RS-T elevation and a subsequent VF are related to a transient outward current-mediated spike-and-dome morphology of the epicardial action potential.

引用

页码：508 / 512

页数：5

共 15 条

[1] IDIOPATHIC VENTRICULAR-FIBRILLATION AND BRADYCARDIA-DEPENDENT INTRAVENTRICULAR BLOCK
AIZAWA, Y
TAMURA, M
CHINUSHI, M
NAITOH, N
UCHIYAMA, H
KUSANO, Y
HOSONO, H
SHIBATA, A
[J]. AMERICAN HEART JOURNAL, 1993, 126 (06) : 1473 - 1474
[2] ANTZELEVITCH C, 1995, CARDIAC ELECTROPHYSI, P228
[3] Characteristics of patients with right bundle branch block and ST-segment elevation in right precordial leads
Atarashi, H
Ogawa, S
Harumi, K
Hayakawa, H
Sugimoto, T
Okada, R
Murayama, M
Toyama, J
[J]. AMERICAN JOURNAL OF CARDIOLOGY, 1996, 78 (05) : 581 - &
[4] Further characterization of the syndrome of right bundle branch block, ST segment elevation, and sudden cardiac death
Brugada, J
Brugada, P
[J]. JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 1997, 8 (03) : 325 - 331
[5] RIGHT BUNDLE-BRANCH BLOCK, PERSISTENT ST SEGMENT ELEVATION AND SUDDEN CARDIAC DEATH - A DISTINCT CLINICAL AND ELECTROCARDIOGRAPHIC SYNDROME - A MULTICENTER REPORT
BRUGADA, P
BRUGADA, J
[J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1992, 20 (06) : 1391 - 1396
[6] I-to and action potential notch are smaller in left vs right canine ventricular epicardium
DiDiego, JM
Sun, ZQ
Antzelevitch, C
[J]. AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, 1996, 271 (02): : H548 - H561
[7] ELEVATION OF THE RS-T SEGMENT, APPARENT OR REAL, IN THE RIGHT PRECORDIAL LEADS AS A PROBABLE NORMAL VARIANT
EDEIKEN, J
[J]. AMERICAN HEART JOURNAL, 1954, 48 (03) : 331 - 339
[8] INAGAKI M, 1997, CIRCULATION S, V96, P151
[9] Idiopathic ventricular fibrillation induced with vagal activity in patients without obvious heart disease
Kasanuki, H
Ohnishi, S
Ohtuka, M
Matsuda, N
Nirei, T
Isogai, R
Shoda, M
Toyoshima, Y
Hosoda, S
[J]. CIRCULATION, 1997, 95 (09) : 2277 - 2285
[10] DIFFERENCES IN THE ELECTROPHYSIOLOGICAL RESPONSE OF CANINE VENTRICULAR SUBENDOCARDIUM AND SUBEPICARDIUM TO ACETYLCHOLINE AND ISOPROTERENOL - A DIRECT EFFECT OF ACETYLCHOLINE IN VENTRICULAR MYOCARDIUM
LITOVSKY, SH
ANTZELEVITCH, C
[J]. CIRCULATION RESEARCH, 1990, 67 (03) : 615 - 627

← 1 2 →