Document Detail


Vasospastic angina with j-wave pattern and polymorphic ventricular tachycardia effectively treated with quinidine.
MedLine Citation:
PMID:  22816550     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background: Myocardial ischemia during coronary spasm may generate malignant ventricular arrhythmias. The J-wave pattern was suggested to be a marker of a disorder associated with life-threatening arrhythmias. Results: We report the case of a patient with vasospastic angina and J-wave pattern in inferior and lateral leads associated with polymorphic ventricular tachycardia which was effectively treated only with quinidine-vasodilating drugs were not able to prevent the arrhythmia although they were effective in preventing ischemic events. Conclusion: The J-wave pattern in inferolateral leads may be a sign of electrical vulnerability to lethal ventricular arrhythmia in patients suffering from vasospastic angina-quinidine can effectively prevent such arrhythmias in these patients.
Authors:
Jerzy Sacha; Szymon Barabach; Piotr Feusette; Piotr Kukla
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc     Volume:  17     ISSN:  1542-474X     ISO Abbreviation:  Ann Noninvasive Electrocardiol     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-07-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9607443     Medline TA:  Ann Noninvasive Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  286-90     Citation Subset:  IM    
Copyright Information:
©2012, Wiley Periodicals, Inc.
Affiliation:
Department of Cardiology, Regional Medical Center, Opole, Poland Department of Internal Medicine, H. Klimontowicz Specialistic Hospital, Gorlice, Poland.
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