A diagnostic dilemma: early repolarization syndrome associated with ventricular fibrillation

被引：1

作者：

Koza, Yavuzer ^{[1
]}

Lazoglu, Zakir ^{[1
]}

Kalkan, Kamuran ^{[1
]}

Sevimli, Serdar ^{[1
]}

机构：

[1] Ataturk Univ, Fac Med, Dept Cardiol, Erzurum, Turkey

来源：

TURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGY | 2014年 / 42卷 / 01期

关键词：

Arrhythmias; cardiac/epidemiology; cardiac electrophysiology; electrocardiography; ventricular fibrillation/therapy;

D O I：

10.5543/tkda.2014.07404

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An early repolarization (ER) pattern, characterized by J-point elevation, slurring of the terminal part of the QRS and ST-segment elevation, is a common finding on the 12-lead electrocardiogram. It has been suggested that J-point elevation, which was considered benign for many years, may play a critical role in the pathogenesis of idiopathic ventricular fibrillation (VF). Recent studies have shown that an ER pattern in inferior leads or inferolateral leads is associated with increased risk for life-threatening arrhythmias. We report the case of a 52-year-old man with no structural heart disease whose electrocardiogram showed type 2 ER pattern (with evidence of J-point and ST-segment elevation in electrocardiogram leads II, III, and aVF). The patient presented with VF.

引用

页码：68 / 70

页数：3

共 13 条

[1] IDIOPATHIC VENTRICULAR-FIBRILLATION AND BRADYCARDIA-DEPENDENT INTRAVENTRICULAR BLOCK [J].

AIZAWA, Y ;

TAMURA, M ;

CHINUSHI, M ;

NAITOH, N ;

UCHIYAMA, H ;

KUSANO, Y ;

HOSONO, H ;

SHIBATA, A .

AMERICAN HEART JOURNAL, 1993, 126 (06) :1473-1474

[2] J wave syndromes [J].

Antzelevitch, Charles ;

Yan, Gan-Xin .

HEART RHYTHM, 2010, 7 (04) :549-558

[3] Familial sudden cardiac death associated with a terminal QRS abnormality on surface 12-lead electrocardiogram in the index case [J].

Garg, A ;

Finneran, W ;

Feld, GK .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 1998, 9 (06) :642-647

[4] Sudden cardiac arrest associated with early repolarization [J].

Haissaguerre, Michel ;

Derval, Nicolas ;

Sacher, Frederic ;

Jesel, Laurence ;

Deisenhofer, Isabel ;

de Roy, Luc ;

Pasquie, Jean-Luc ;

Nogami, Akihiko ;

Babuty, Dominique ;

Yli-Mayry, Sinikka ;

De Chillou, Christian ;

Scanu, Patrice ;

Mabo, Philippe ;

Matsuo, Seiichiro ;

Probst, Vincent ;

Le Scouarnec, Solena ;

Defaye, Pascal ;

Schlaepfer, Juerg ;

Rostock, Thomas ;

Lacroix, Dominique ;

Lamaison, Dominique ;

Lavergne, Thomas ;

Aizawa, Yoshifusa ;

Englund, Anders ;

Anselme, Frederic ;

O'Neill, Mark ;

Hocini, Meleze ;

Lim, Kang Teng ;

Knecht, Sebastien ;

Veenhuyzen, George D. ;

Bordachar, Pierre ;

Chauvin, Michel ;

Jais, Pierre ;

Coureau, Gaelle ;

Chene, Genevieve ;

Klein, George J. ;

Clementy, Jacques .

NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (19) :2016-2023

[5] Characteristics of Recurrent Ventricular Fibrillation Associated With Inferolateral Early Repolarization [J].

Haissaguerre, Michel ;

Sacher, Frederic ;

Nogami, Akihiko ;

Komiya, Nohiriro ;

Bernard, Anne ;

Probst, Vincent ;

Yli-Mayry, Sinikka ;

Defaye, Pascal ;

Aizawa, Yoshifusa ;

Frank, Robert ;

Mantovan, Roberto ;

Cappato, Riccardo ;

Wolpert, Christian ;

Leenhardt, Antoine ;

de Roy, Luc ;

Heidbuchel, Hein ;

Deisenhofer, Isabel ;

Arentz, Thomas ;

Pasquie, Jean-Luc ;

Weerasooriya, Rukshen ;

Hocini, Meleze ;

Jais, Pierre ;

Derval, Nicolas ;

Bordachar, Pierre ;

Clementy, Jacques .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2009, 53 (07) :612-619

[6] Ventricular fibrillation in a patient with prominent J (Osborn) waves and ST segment elevation in the inferior electrocardiographic leads: A Brugada syndrome variant? [J].

Kalla, H ;

Yan, GX ;

Marinchak, R .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2000, 11 (01) :95-98

[7] PERSISTENCE OF THE JUVENILE PATTERN IN THE PRECORDIAL LEADS OF HEALTHY ADULT NEGROES, WITH REPORT OF ELECTROCARDIOGRAPHIC SURVEY ON 300 NEGRO AND 200 WHITE SUBJECTS [J].

LITTMANN, D .

AMERICAN HEART JOURNAL, 1946, 32 (03) :370-382

[8] Augmentation of J waves and electrical storms in patients with early repolarization [J].

Nam, Gi-Byoung ;

Kim, You-Ho ;

Antzelevitch, Charles .

NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (19) :2078-2079

[9] VENTRICULAR-FIBRILLATION CAUSES SUDDEN-DEATH IN SOUTHEAST ASIAN IMMIGRANTS [J].

OTTO, CM ;

TAUXE, RV ;

COBB, LA ;

GREENE, HL ;

GROSS, BW ;

WERNER, JA ;

BURROUGHS, RW ;

SAMSON, WE ;

WEAVER, WD ;

TROBAUGH, GB .

ANNALS OF INTERNAL MEDICINE, 1984, 101 (01) :45-47

[10] J-point elevation in survivors of primary ventricular fibrillation and matched control subjects - Incidence and clinical significance [J].

Rosso, Raphael ;

Kogan, Evgeni ;

Belhassen, Bernard ;

Rozovski, Uri ;

Scheinman, Melvin M. ;

Zeltser, David ;

Halkin, Amir ;

Steinvil, Arie ;

Heller, Karin ;

Glikson, Michael ;

Katz, Amos ;

Viskin, Sami .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2008, 52 (15) :1231-1238

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