Unmasking of J waves during Right Coronary Angiography in Patients with Spontaneous Coronary Spasms and Ventricular Fibrillation

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概要

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• We encountered two consecutive cases with spontaneous ST elevation due to right coronary spasms and subsequent ventricular fibrillation (VF). Their 12-lead ECGs on anterior chest pain showed elevation of ST-segments in the inferior leads, but coronary angiography (CAG) revealed no significant stenosis. Both cases showed dramatically evolving J waves in the inferior leads during the right CAG, but it was not observed during angiography of the left CAG. Neither Brugada-type ECG nor long-QT was evident. In summary, J waves can be produced without ST-segment elevation, and contrast media-induced J waves might be related to the arrhythmogenesis of subsequent VF evoked by right coronary spasms.

著者

• Nakayama Masafumi

  Department Of Cardiovascular Medicine Graduate School Of Medical Science Kumamoto University

• Sato Masahito

  Department of Cardiology, Tachikawa General Hospital

• Ikeda Yoshio

  Department of Cardiology, Tachikawa General Hospital

• Kitazawa Hitoshi

  Department Of Cardiology Tachikawa General Hospital

• Takahashi Minoru

  Department Of Appied Physics Tohoku University

• Aizawa Yoshifusa

  Department Of Cardiology Keio University School Of Medicine

• Saito Atsushi

  Department Of Biochemistry Graduate School Of Biomedical Sciences Hiroshima University

• FUJITA Satoru

  Department of Adaptive Machine Systems, Osaka University

• Saito Atsushi

  Department of Cardiology, Tachikawa General Hospital, Japan

• Ikeda Yoshio

  Department of Cardiology, Tachikawa General Hospital, Japan

• Fujita Satoru

  Department of Cardiology, Tachikawa General Hospital, Japan

• Matsushita Hirooki

  Department of Cardiology, Tachikawa General Hospital, Japan

• Fuse Koichi

  Department of Cardiology, Tachikawa General Hospital, Japan

• Nakayama Masafumi

  Department of Cardiology, Tachikawa General Hospital, Japan

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