Document Detail

Transition of the ST segment from a J wave to a coved-type elevation before ventricular fibrillation induced by coronary vasospasm in the precordial leads.
MedLine Citation:
PMID:  20667548     Owner:  NLM     Status:  MEDLINE    
We describe the case of a 63-year-old man whose electrocardiogram showed transition of the ST segment from a J wave to a coved-type elevation in precordial leads before ventricular fibrillation induced by right coronary artery vasospasm. Simultaneously, the ST segment in inferior leads was gradually depressed with a J wave. Considering the sudden death of his son, induced ventricular fibrillation by programmed electrical stimulation, and modulations of the ST segment in the precordial and inferior leads by pilsicainide, some abnormalities in repolarization associated with Brugada syndrome or early repolarization syndrome might have caused these atypical ST-segment manifestations.
Masaru Inoue; Takao Matsubara; Toshihiko Yasuda; Kenji Miwa; Hounin Kanaya
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-27
Journal Detail:
Title:  Journal of electrocardiology     Volume:  43     ISSN:  1532-8430     ISO Abbreviation:  J Electrocardiol     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-08-23     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  418-21     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Division of Cardiology, Ishikawa Prefectural Hospital, Kanazawa, Japan.
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MeSH Terms
Brugada Syndrome / complications*,  physiopathology
Coronary Vasospasm / complications*,  physiopathology
Heart Conduction System / physiopathology
Middle Aged
Ventricular Fibrillation / etiology*,  physiopathology

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