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
JAPANESE HEART JOURNAL | 2002年 / 43卷 / 01期
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.
引用
收藏
页码:55 / 60
页数:6
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