J波的危险评估.pdfVIP

Circulation Journal EDITORIAL Official Journal of the Japanese Circulation Society http://www.j-circ.or.jp Risk Stratification of Asymptomatic Patients With Brugada Type or J-Wave Type ECG Akira Fujiki, MD, PhD 6 diopathic ventricular fibrillation (VF) has been recognized mation (FFT) analysis. Symptomatic BS had a significantly as a cause of unexplained nocturnal sudden death in shorter effective refractory period (ERP) at a basic cycle length I middle-aged men, especially in South-East Asian coun- (BCL) of 600ms at the right ventricular outflow tract (RVOT) tries. In some of these patients with idiopathic VF, a high take- compared with asymptomatic patients. The mean VF duration off ST segment and prominent J wave in the right precordial induced by EPS was 14.6 s, most of them terminated electri- ECG leads (Brugada type) or inferolateral leads (J-wave type) cally, and the dominant frequency (DF) of VF significantly have been reported.1,2 A prominent transient outward current increased with the duration of VF. Symptomatic BS patients (Ito) may play an important role in the genesis of the J wave.3 had a higher DF of VF compared with asymptomatic patients. Both the Brugada type and J-wave type of idiopathic VF have The authors propose that spectral analysis of induced VF may some similar clinical characteristics, such as VF episodes at be a useful marker for risk stratification of BS patients. How