Literature DB >> 17547622

Occurrence of "J waves" in 12-lead ECG as a marker of acute ischemia and their cellular basis.

Rituparna Shinde1, Shinde Rituparna, Suresh Shinde, Shinde Suresh, Chandrashekhar Makhale, Makhale Chandrashekhar, Purvez Grant, Grant Purvez, Sunil Sathe, Sathe Sunil, Manuel Durairaj, M Durairaj, Yash Lokhandwala, Lokhandwala Yash, Jose Di Diego, J M DI Diego, Charles Antzelevitch, Antzelevitch Charles.   

Abstract

The "J wave" (also referred to as "the Osborn wave,""the J deflection," or "the camel's hump") is a distinctive deflection occurring at the QRS-ST junction. In 1953, Dr. John Osborn described the "J wave" as an "injury current" resulting in ventricular fibrillation during experimental hypothermia. Although "J Wave" is supposed to be pathognomonic of hypothermia, it is seen in a host of other conditions such as hypercalcemia, brain injury, subarachnoid hemorrhage, cardiopulmonary arrest from over sedation, the Brugada syndrome, vasospastic angina, and idiopathic ventricular fibrillation. However, there is paucity of literature data as regards to ischemic etiology of "J Wave." In this article, we present a case where "J waves" were probably induced by ischemia. We also discuss the mechanism of ischemia-induced "J wave" accentuation and its prognostic implications.

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Year:  2007        PMID: 17547622      PMCID: PMC1989774          DOI: 10.1111/j.1540-8159.2007.00760.x

Source DB:  PubMed          Journal:  Pacing Clin Electrophysiol        ISSN: 0147-8389            Impact factor:   1.976


  11 in total

1.  Cellular basis for ST-segment changes observed during ischemia.

Authors:  José M Di Diego; Charles Antzelevitch
Journal:  J Electrocardiol       Date:  2003       Impact factor: 1.438

Review 2.  Ventricular repolarization components on the electrocardiogram: cellular basis and clinical significance.

Authors:  Gan-Xin Yan; Ramarao S Lankipalli; James F Burke; Simone Musco; Peter R Kowey
Journal:  J Am Coll Cardiol       Date:  2003-08-06       Impact factor: 24.094

3.  Electrocardiographic changes in head injuries.

Authors:  C HERSCH
Journal:  Circulation       Date:  1961-06       Impact factor: 29.690

4.  Experimental hypothermia; respiratory and blood pH changes in relation to cardiac function.

Authors:  J J OSBORN
Journal:  Am J Physiol       Date:  1953-12

5.  Changes simulating hypothermia in the electrocardiogram in subarachnoid hemorrhage.

Authors:  J De Sweit
Journal:  J Electrocardiol       Date:  1972       Impact factor: 1.438

6.  Osborn waves associated with ventricular fibrillation in a patient with vasospastic angina.

Authors:  Mitsunori Maruyama; Hirotsugu Atarashi; Takeshi Ino; Hiroshi Kishida
Journal:  J Cardiovasc Electrophysiol       Date:  2002-05

7.  Electrocardiographic J waves after resuscitation from cardiac arrest.

Authors:  U Jain; D E Wallis; K Shah; B M Blakeman; J F Moran
Journal:  Chest       Date:  1990-11       Impact factor: 9.410

8.  Electrocardiographic J wave of hypercalcemia.

Authors:  M R Sridharan; L G Horan
Journal:  Am J Cardiol       Date:  1984-09-01       Impact factor: 2.778

9.  Ventricular fibrillation in a patient with prominent J (Osborn) waves and ST segment elevation in the inferior electrocardiographic leads: a Brugada syndrome variant?

Authors:  H Kalla; G X Yan; R Marinchak
Journal:  J Cardiovasc Electrophysiol       Date:  2000-01

10.  Cellular basis for the electrocardiographic J wave.

Authors:  G X Yan; C Antzelevitch
Journal:  Circulation       Date:  1996-01-15       Impact factor: 29.690

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  21 in total

1.  The J Wave Syndromes and their Role in Sudden Cardiac Death.

Authors:  Dongqi Wang; Gan-Xin Yan; Charles Antzelevitch
Journal:  Card Electrophysiol Clin       Date:  2011-03-01

2.  The year of 2007 in electrocardiology.

Authors:  Shlomo Stern
Journal:  Ann Noninvasive Electrocardiol       Date:  2008-07       Impact factor: 1.468

Review 3.  J wave syndromes.

Authors:  Charles Antzelevitch; Gan-Xin Yan
Journal:  Heart Rhythm       Date:  2009-12-11       Impact factor: 6.343

4.  Therapeutic hypothermia for neuroprotection: history, mechanisms, risks, and clinical applications.

Authors:  Lioudmila V Karnatovskaia; Katja E Wartenberg; William D Freeman
Journal:  Neurohospitalist       Date:  2014-07

Review 5.  Some Controversies about Early Repolarization: The Haïssaguerre Syndrome.

Authors:  Peter Kukla; Marek Jastrzębski; Andrés Ricardo Pérez-Riera
Journal:  Ann Noninvasive Electrocardiol       Date:  2015-03-10       Impact factor: 1.468

Review 6.  J-Wave syndromes expert consensus conference report: Emerging concepts and gaps in knowledge.

Authors:  Charles Antzelevitch; Gan-Xin Yan; Michael J Ackerman; Martin Borggrefe; Domenico Corrado; Jihong Guo; Ihor Gussak; Can Hasdemir; Minoru Horie; Heikki Huikuri; Changsheng Ma; Hiroshi Morita; Gi-Byoung Nam; Frederic Sacher; Wataru Shimizu; Sami Viskin; Arthur A M Wilde
Journal:  Europace       Date:  2017-04-01       Impact factor: 5.214

7.  The J wave during ST-segment elevation myocardial infarction and its implications.

Authors:  H R Omar
Journal:  Herz       Date:  2013-05-19       Impact factor: 1.443

Review 8.  J wave syndromes: molecular and cellular mechanisms.

Authors:  Charles Antzelevitch
Journal:  J Electrocardiol       Date:  2013-09-06       Impact factor: 1.438

Review 9.  J-Wave syndromes expert consensus conference report: Emerging concepts and gaps in knowledge.

Authors:  Charles Antzelevitch; Gan-Xin Yan; Michael J Ackerman; Martin Borggrefe; Domenico Corrado; Jihong Guo; Ihor Gussak; Can Hasdemir; Minoru Horie; Heikki Huikuri; Changsheng Ma; Hiroshi Morita; Gi-Byoung Nam; Frederic Sacher; Wataru Shimizu; Sami Viskin; Arthur A M Wilde
Journal:  Heart Rhythm       Date:  2016-07-13       Impact factor: 6.343

10.  High Frequency of Early Repolarization and Brugada-Type Electrocardiograms in Hypercalcemia.

Authors:  Keiko Sonoda; Hiroshi Watanabe; Takashi Hisamatsu; Takashi Ashihara; Seiko Ohno; Hideki Hayashi; Minoru Horie; Tohru Minamino
Journal:  Ann Noninvasive Electrocardiol       Date:  2015-08-11       Impact factor: 1.468

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