Yamaki Masaru, Sato Nobuyuki, Karim Talib Ahmed, Nishiura Takeshi, Suzuki Akihiro, Kokita Naofumi, Akasaka Nobuyuki, Kawamura Yuichiro, Fujita Satoshi, Hasebe Naoyuki
Department of Emergency Medicine, Asahikawa Medical University, Japan.
Intern Med. 2012;51(19):2757-61. doi: 10.2169/internalmedicine.51.7881. Epub 2012 Oct 1.
We herein describe a case of a myocardial infarction, in which Lambda-like J waves were documented. The patient was referred to our hospital due to ventricular fibrillation. The twelve-lead electrocardiogram (ECG) on admission showed prominent J waves in the lateral and precordial leads. Coronary angiography revealed 99% stenosis with a delay in the left anterior descending artery, 75% stenosis in the left main trunk, and possible ischemia in the conus branch. Our report addresses the possibility that ischemic J waves can be used as an important marker for lethal arrhythmias in patients with acute myocardial infarction.
我们在此描述一例记录到类Lambda波的心肌梗死病例。该患者因心室颤动被转诊至我院。入院时的十二导联心电图（ECG）显示侧壁和心前区导联有明显的J波。冠状动脉造影显示左前降支狭窄99%并伴有延迟，左主干狭窄75%，圆锥支可能存在缺血。我们的报告探讨了缺血性J波可作为急性心肌梗死患者致死性心律失常重要标志物的可能性。
