Malign kardiyak aritmilerin nadir bir EKG bulgusu olarak J dalgası

Yıl 2023, Cilt: 16 Sayı: 3, 500 - 504, 01.07.2023

Emel Altıntaş , Mehmet Erat , Esma Buşra Güzeş

https://doi.org/10.31362/patd.1218933

Öz

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.

Anahtar Kelimeler

J dalgası, malign aritmi, ölüm

J wave as a rare ECG finding of malignant cardiac arrhythmia

Öz

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.

Anahtar Kelimeler

J wave, malign arrhythmia, death

Kaynakça

• 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