12-lead Holter monitoring confirmed that J wave syndrome caused by sudden cardiac death in 1 case.docVIP
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12-lead Holter monitoring confirmed that J wave syndrome caused by sudden cardiac death in 1 case
PAGE \* MERGEFORMAT 7
12-lead Holter monitoring confirmed that J wave syndrome caused by sudden cardiac death in 1 case
[Keywords:] 12-lead Holter J wave syndrome of sudden death ventricular fibrillation dirty
J wave is immediately after the QRS wave group in a small semi-circular wave .1953 years, Osborn their experiments in dogs for a more detailed description, and thus J wave, also known as Osborn waves [1]. Recent studies show that , J wave is a precursor to ventricular fibrillation, and ventricular fibrillation is the most fatal cardiac arrhythmia and sudden death. We report 1 case was 12-lead Holter monitoring (AECG confirmed that J wave syndrome caused by ventricular fibrillation induced sudden cardiac death in patients .
1 Case information
Patients, female, 75 years old, repeated shortness of breath, coughing three more than a month, diarrhea 4 days, 1 day palpitations, loss of consciousness 1min hospital. Patients into the wards in the flat car on the way, loss of consciousness, respiratory arrest, admission electrocardiogram showed ventricular fibrillation (figure not shown. by electrical defibrillation and drug rescue operation after the physical examination: blood pressure 115/63mmHg, body temperature 37 , pulse 60 times / min, respiratory (tracheal intubation, balloon assisted breathing 20 times / min, non-invasive blood oxygen saturation 86% of the normal sodium, loss of consciousness, sensitivity to light reflex, bilateral and other large and round pupil diameter of 3mm, no jugular vein engorgement, hepatic venous return, negative symptoms, barrel chest, lungs breath sounds clear, no smell and wet and dry rales, heart border slightly expanded, low heart sound blunt, heart rate 60 times / min, law Qi, P2 lt;A2, the valve area and the noise is not heard. no similar family history. echocardiography tips: (1 left atrial , left ventricular increases, (2 left ventricular septal, anterior, lateral, posterior, inferior wall mobility decrease
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