Document Detail


Increase in prominence of electrocardiographic J waves after a single dose of propofol in a patient with early ventricular repolarisation.
MedLine Citation:
PMID:  24116860     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
J waves appear on an electrocardiogram as an elevation of the J point in the terminal portion of the QRS complex. J waves are often benign, but may be associated with malignant ventricular arrhythmias. In some cases, such problems appear to have been precipitated by propofol infusions. We observed a sudden increase in J waves and profound hypotension following a single intravenous dose of propofol in an 84-year-old woman with early repolarisation in the inferior ventricular wall. When early repolarisation (as shown by electrocardiographic J waves) is observed in the inferior ventricular wall pre-operatively, patients should be carefully monitored. Myocardial ischaemia and the use of drugs that might worsen J waves should be avoided.
Authors:
K Takaishi; S Kawahito; H Yamada; T Soeki; M Sata; H Kitahata
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-10-11
Journal Detail:
Title:  Anaesthesia     Volume:  -     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-10-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 The Association of Anaesthetists of Great Britain and Ireland.
Affiliation:
Department of Dental Anaesthesiology, The University of Tokushima Graduate School, Tokushima, Japan.
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