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J wave and ST segment elevation in the inferior leads - A latent type of variant Brugada syndrome ?
被引:25
|作者:
Sahara, M
[1
]
Sagara, K
[1
]
Yamashita, T
[1
]
Abe, T
[1
]
Kirigaya, H
[1
]
Nakada, M
[1
]
Iinuma, H
[1
]
Fu, LT
[1
]
机构:
[1] Cardiovasc Inst Hosp, Minato Ku, Tokyo 1060032, Japan
来源:
关键词:
idiopathic ventricular fibrillation;
ventricular tachycardia;
sodium channel blockers;
pilsicainide;
J wave;
inferior leads;
Brugada syndrome;
D O I:
10.1536/jhj.43.55
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
In a patient referred for the evaluation of non-sustained monomorphic ventricular tachycardia on Holier recordings, ventricular fibrillation was electrically induced during electrophysiologic Study. Despite the absence of structural heart diseases, his ECG revealed J wave and ST segment elevation in the inferior leads, which showed circadian variation and were augmented by the sodium channel blocker, pilsicainide. This case might lead us to notice a new concept, a 'latent' type of variant Brugada syndrome, and these ECG findings and changes might serve as its diagnostic sign.
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页码:55 / 60
页数:6
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