Idiopathic J wave and malignant ventricular arrhythmias.docVIP

 PAGE \* MERGEFORMAT 8 Idiopathic J wave and malignant ventricular arrhythmias Author: Ya Hui-Fen Xu Rong Cai Zhao Yue-Fang Du [Keywords:] Arrhythmia J-Bo also known as Osborn waves, which is moved by the electrocardiogram J point, up to a certain amplitude, sustained period of time to form a spike-like, hump-shaped or dome-shaped waveform. Often starts with R-wave descending part of the majority of its occurrence that is the last depolarization and repolarization of the cardiac first overlap caused by normal circumstances, the overlap time is about 10ms, the formation of J-point, the wider the overlap, J-Bo Yue obvious. According to etiology, the J-wave is divided into idiopathic, neuropathic, high calcium, low-temperature of 4 types. Idiopathic J wave and ventricular arrhythmias is closely related to the report of an example, under this article. 1 Case description Patients, male, 68 years old, there is a history of chronic bronchitis, more than three years, no other chronic diseases, with no past episodes of syncope, black, history of convulsions. This was hospitalized due to acute exacerbation of chronic bronchitis treatment, hospitalization body check: T 36.8 ℃ , P 72 times / min, R 18 times / min, BP 130/80mmHg, mild barrel chest, breath sounds thick, lungs even smell and a little scattered wheezing sound, dual lower lung can be heard and small wet sound, right lower lung apparent heart little circles, heart rate 72 times / min, law Qi, Yu no special. Admission electrocardiogram shown in Figure 1. Routine blood test: WBC 8.9 * 109 / L, N 79%, more than normal, heart normal two-dimensional ultrasound, blood electrolytes (K, Na, C l-, Ca2, Mg2) are in the normal range, myocardial enzymes and normal. Admission diagnosis: acute exacerbation of chronic bronchitis, obstructive emphysema. After admission by the anti-infection, cough phlegm, spasm and asthma treatment seven days later, the patients with signs of significant improvement in symptoms and lung.