| Literature DB >> 29476573 |
Andrés Ricardo Pérez-Riera1, Raimundo Barbosa-Barros2, Wallam Lima Aragão2, Rodrigo Daminello-Raimundo1, Luiz Carlos de Abreu1, Joseane Elza Tonussi Mendes Rossette do Valle1, Isabel Cristina Esposito Sorpreso1, Kjell Nikus3.
Abstract
We report a case of acute coronary syndrome with transient prominent anterior QRS forces (PAF) caused by proximal subocclusion of the left anterior descending (LAD) coronary artery before the first septal perforator branch. The ECG change indicates left septal fascicular block (LSFB) with associated slurring-type giant J-wave. Currently, this J-wave variant is considered as a lambda-like wave or QRS-ST-T "triangulation". Its presence is indicative of poor prognosis because of the risk for cardiac arrest as a consequence of ventricular tachycardia/ventricular fibrillation (VT/VF).Entities:
Keywords: acute coronary syndrome; giant slurring variant J-wave; prominent QRS anterior forces; transient left anterior fascicular block
Mesh:
Year: 2018 PMID: 29476573 PMCID: PMC6931563 DOI: 10.1111/anec.12536
Source DB: PubMed Journal: Ann Noninvasive Electrocardiol ISSN: 1082-720X Impact factor: 1.468