Malign kardiyak aritmilerin nadir bir EKG bulgusu olarak J dalgası
Year 2023,
Volume: 16 Issue: 3, 500 - 504, 01.07.2023
Emel Altıntaş
,
Mehmet Erat
,
Esma Buşra Güzeş
Abstract
Acil serviste ventriküler fibrilasyon saptanan ve kardiyopulmoner resüsitasyon uygulanıp, yaşamını kaybeden 76 yaşında bir kadın hastayı sunduk. Bu olgumuzda spontan dolaşıma geri dönüş sağlandıktan sonra hastanın elektrokardiyogramında gördüğümüz J dalgasını aritmi riski nedeni ile önemini vurguladık.
References
- 1. Merchant RM, Topjian AA, Panchal AR, et al. Part 1: Executive summary: 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2020;142:337-357. https://doi.org/10.1161/CIR.0000000000000918
- 2. Panchal AR, Bartos JA, Cabañas JG, et al. Part 3: Adult basic and advanced life support: 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2020;142:366-468. https://doi.org/10.1161/CIR.0000000000000916
- 3. Basso C, Corrado D, Thiene G. Cardiovascular causes of sudden death in young individuals including athletes. Cardiol Rev 1999;7:127-135. https://doi.org/10.1097/00045415-199905000-00009
- 4. Fan L, Yin P, Xu Z. The genetic basis of sudden death in young people – Cardiac and non-cardiac. Gene 2022;810:146067. https://doi.org/10.1016/j.gene.2021.146067
- 5. Antzelevitch C, Di Diego JM. J wave syndromes: What’s new? Trends Cardiovasc Med 2022;32:350-363. https://doi.org/10.1016/j.tcm.2021.07.001
- 6. Priori SG, Napolitano C. J-wave syndromes: Electrocardiographic and clinical aspects. Card Electrophysiol Clin 2018;10:355-369. https://doi.org/10.1016/j.ccep.2018.02.009
- 7. Maeda S, Abe I, Zaizen H, Takahashi N. J‐wave change during rewarming therapy for accidental hypothermia. Acute Med Surg 2021;8:e628. https://doi.org/10.1002/ams2.628
- 8. Sethi KK, Sethi K, Chutani SK. J wave syndrome: Clinical diagnosis, risk stratification and treatment. J Atr Fibrillation 2014;7:36-40. https://doi.org/10.4022/jafib.1173
- 9. Tikkanen JT, Anttonen O, Junttila MJ, et al. Long-term outcome associated with early repolarization on electrocardiography. N Engl J Med 2009;361:2529-2537. https://doi.org/10.1056/NEJMoa0907589
- 10. Takagi M, Aihara N, Takaki H, et al. Clinical characteristics of patients with spontaneous or inducible ventricular fibrillation without apparent heart disease presenting with J wave and ST segment elevation in inferior leads. J Cardiovasc Electrophysiol 2000;11:844-848. https://doi.org/10.1111/j.1540-8167.2000.tb00062.x
- 11. Konishi S, Minamiguchi H, Okuyama Y, Sakata Y. Sodium channel blockade unmasked Brugada electrocardiographic pattern in a patient with complete right bundle branch block and early repolarization in the lateral leads. Clin Case Reports 2016;4:1061-1064. https://doi.org/10.1002/ccr3.636
- 12. Naruse Y, de Riva M, Watanabe M, et al. The prognostic value of J-wave pattern for recurrence of ventricular tachycardia after catheter ablation in patients with myocardial infarction. PACE – Pacing Clin Electrophysiol 2021;44:657-666. https://doi.org/10.1111/pace.14203
- 13. Kawara T, Derksen R, De Groot JR, et al. Activation delay after premature stimulation in chronically diseased human myocardium relates to the architecture of interstitial fibrosis. Circulation 2001;104:3069-3075. https://doi.org/10.1161/hc5001.100833
- 14. Haïssaguerre M, Nademanee W, Hocini M, et al. The spectrum of ıdiopathic ventricular fibrillation and J-wave syndromes: Novel mapping insights. Card Electrophysiol Clin 2019;11:699-709. https://doi.org/10.1016/j.ccep.2019.08.011
- 15. Boukens BJ, Benjacholamas V, van Amersfoort S, et al. Structurally abnormal myocardium underlies ventricular fibrillation storms in a patient diagnosed with the early repolarization pattern. JACC Clin Electrophysiol 2020;6:1395-1404. https://doi.org/10.1016/j.jacep.2020.06.027
J wave as a rare ECG finding of malignant cardiac arrhythmia
Year 2023,
Volume: 16 Issue: 3, 500 - 504, 01.07.2023
Emel Altıntaş
,
Mehmet Erat
,
Esma Buşra Güzeş
Abstract
In this case report, we present a 76-year-old female patient diagnosed with ventricular fibrillation in the emergency department who died after cardiopulmonary resuscitation. The importance of observing J waves in a patient’s electrocardiogram after spontaneous return to circulation is addressed in terms of the risk of arrhythmia.
References
- 1. Merchant RM, Topjian AA, Panchal AR, et al. Part 1: Executive summary: 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2020;142:337-357. https://doi.org/10.1161/CIR.0000000000000918
- 2. Panchal AR, Bartos JA, Cabañas JG, et al. Part 3: Adult basic and advanced life support: 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2020;142:366-468. https://doi.org/10.1161/CIR.0000000000000916
- 3. Basso C, Corrado D, Thiene G. Cardiovascular causes of sudden death in young individuals including athletes. Cardiol Rev 1999;7:127-135. https://doi.org/10.1097/00045415-199905000-00009
- 4. Fan L, Yin P, Xu Z. The genetic basis of sudden death in young people – Cardiac and non-cardiac. Gene 2022;810:146067. https://doi.org/10.1016/j.gene.2021.146067
- 5. Antzelevitch C, Di Diego JM. J wave syndromes: What’s new? Trends Cardiovasc Med 2022;32:350-363. https://doi.org/10.1016/j.tcm.2021.07.001
- 6. Priori SG, Napolitano C. J-wave syndromes: Electrocardiographic and clinical aspects. Card Electrophysiol Clin 2018;10:355-369. https://doi.org/10.1016/j.ccep.2018.02.009
- 7. Maeda S, Abe I, Zaizen H, Takahashi N. J‐wave change during rewarming therapy for accidental hypothermia. Acute Med Surg 2021;8:e628. https://doi.org/10.1002/ams2.628
- 8. Sethi KK, Sethi K, Chutani SK. J wave syndrome: Clinical diagnosis, risk stratification and treatment. J Atr Fibrillation 2014;7:36-40. https://doi.org/10.4022/jafib.1173
- 9. Tikkanen JT, Anttonen O, Junttila MJ, et al. Long-term outcome associated with early repolarization on electrocardiography. N Engl J Med 2009;361:2529-2537. https://doi.org/10.1056/NEJMoa0907589
- 10. Takagi M, Aihara N, Takaki H, et al. Clinical characteristics of patients with spontaneous or inducible ventricular fibrillation without apparent heart disease presenting with J wave and ST segment elevation in inferior leads. J Cardiovasc Electrophysiol 2000;11:844-848. https://doi.org/10.1111/j.1540-8167.2000.tb00062.x
- 11. Konishi S, Minamiguchi H, Okuyama Y, Sakata Y. Sodium channel blockade unmasked Brugada electrocardiographic pattern in a patient with complete right bundle branch block and early repolarization in the lateral leads. Clin Case Reports 2016;4:1061-1064. https://doi.org/10.1002/ccr3.636
- 12. Naruse Y, de Riva M, Watanabe M, et al. The prognostic value of J-wave pattern for recurrence of ventricular tachycardia after catheter ablation in patients with myocardial infarction. PACE – Pacing Clin Electrophysiol 2021;44:657-666. https://doi.org/10.1111/pace.14203
- 13. Kawara T, Derksen R, De Groot JR, et al. Activation delay after premature stimulation in chronically diseased human myocardium relates to the architecture of interstitial fibrosis. Circulation 2001;104:3069-3075. https://doi.org/10.1161/hc5001.100833
- 14. Haïssaguerre M, Nademanee W, Hocini M, et al. The spectrum of ıdiopathic ventricular fibrillation and J-wave syndromes: Novel mapping insights. Card Electrophysiol Clin 2019;11:699-709. https://doi.org/10.1016/j.ccep.2019.08.011
- 15. Boukens BJ, Benjacholamas V, van Amersfoort S, et al. Structurally abnormal myocardium underlies ventricular fibrillation storms in a patient diagnosed with the early repolarization pattern. JACC Clin Electrophysiol 2020;6:1395-1404. https://doi.org/10.1016/j.jacep.2020.06.027