Korean Circ J.  2013 Mar;43(3):193-195. 10.4070/kcj.2013.43.3.193.

Transient J-Wave Appearance in the Inferior-Lateral Leads during Electrical Storm in a Patient with Brugada Syndrome

• Yang DH
• Kwon HJ
• Kim JC
• Jang JH
• Shin SH
• Kwan J
• Woo SI
• Park KS
• Kim DH

• KMID: 2224965
• DOI: http://doi.org/10.4070/kcj.2013.43.3.193

Abstract

A 67-year-old male patient was admitted with an abrupt sudden cardiac death. He represented with an extreme electrical storm of 30 times of ventricular fibrillation (VF) episodes on one day. External shocks were performed to terminate VF. Transient J-wave in the inferior-lateral leads and Brugada electrocardiography pattern on the right precordial leads appeared during the electrical storm. And J-wave disappeared after the termination of electrical storm. We report a case of the appearance of J-wave during electrical storm in a patient with Brugada syndrome.

Keyword

Brugada syndrome; Sudden cardiac death

MeSH Terms

Brugada Syndrome
Death, Sudden, Cardiac
Electrocardiography
Humans
Male
Shock
Ventricular Fibrillation

Figure

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  Fig. 1 The ventricular fibrillation was terminated by direct current cardioversion three times.

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  Fig. 2 A: electrocardiography (ECG) showed normal QRS complex (no J wave and no Brugada ECG pattern) after termination of electrical storm, which had the same pattern to one taken 5 years previously. B: ECG showed J wave in II, III, aVF, V 5-6 lead, and coved type Brugada pattern in V 1-2 leads during electrical storm.

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  Fig. 3 Electrocardiography (ECG) showed spontaneous change from coved type (A) to saddle back type Brugada ECG pattern (B) during electrical storm. After termination of electrical storm, type I Brugada ECG pattern changed to normal QRS complex (C).

Reference

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