Brugada syndrome associated with J waves in multiple leads and 'pseudo-epsilon' wiggle waves in lateral leads: Possible conduction delay in J-wave syndrome

Autor: Kazuya Ishibashi, Mitsuo Takeda, Yasuhiro Yamahara, Hirokazu Shiraishi, Takeshi Shirayama, Hiroaki Matsubara
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Journal of Arrhythmia, Vol 28, Iss 4, Pp 228-231 (2012)
Druh dokumentu: article
ISSN: 1880-4276
60386673
DOI: 10.1016/j.joa.2011.11.002
Popis: We present a case of Brugada syndrome associated with augmentation of multiple J waves and the presence of “pseudo-epsilon” wiggle waves in the lateral leads. Just after ventricular fibrillation (VF), J waves were prominent in leads V1 through V4 and in the inferior leads. Moreover, pseudo-epsilon wiggle waves were recorded at the terminal portion of the QRS-complexes in leads V5 and V6. Oral administration of quinidine eliminated the epsilon-like waves and J waves, thus completely suppressing VF. In this case, both the pseudo-epsilon wiggle waves in the lateral leads and the J waves were thought to be associated with VF. In this case report, we discuss the etiology of J-wave syndrome from the perspective of the appearance of epsilon-like delayed waves.
Databáze: Directory of Open Access Journals
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