J Wave and ST Segment Elevation in the Inferior Leads. A Latent Type of Variant Hrugada Syndrome?
- 1 January 2002
- journal article
- case report
- Published by International Heart Journal (Japanese Heart Journal) in Japanese Heart Journal
- Vol. 43 (1), 55-60
- https://doi.org/10.1536/jhj.43.55
Abstract
In a patient referred for the evaluation of non-sustained monomorphic ventricular tachycardia on Holter recordings, ventricular fibrillation was electrically induced during electrophysiologic study. Despite the absence of structural heart diseases, his ECG revealed J wave and ST segment elevation in the inferior leads, which showed circadian variation and were augmented by the sodium channel blocker, pilsicainide. This case might lead us to notice a new concept, a 'latent' type of variant Brugada syndrome, and these ECG findings and changes might serve as its diagnostic sign.Keywords
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