Department of Cardiology, Keio University School of Medicine, Tokyo, Japan.
Can J Cardiol. 2013 Oct;29(10):1330.e1-1330.e3. doi: 10.1016/j.cjca.2013.05.006. Epub 2013 Aug 2.
We present a patient with ventricular fibrillation (VF) associated with J-wave manifestation following pericarditis after catheter ablation of paroxysmal atrial fibrillation (AF). The premature ventricular contraction induced VF with J-waves in the inferior leads 2 days after the procedure. The patient's juvenile onset of AF and a family history of sudden cardiac death strongly suggested an underlying hereditable channelopathy. The late gadolinium enhancement in the posterior wall, viewed by cardiac magnetic resonance imaging, matched the leads of the J-waves. VF might develop in juvenile onset of AF especially in individuals with a family history of sudden cardiac death.
我们报告了一例患者，在阵发性心房颤动（AF）导管消融后并发心包炎，出现与 J 波相关的心室颤动（VF）。该患者在手术后第 2 天，由于室性早搏导致 VF 发作，下壁导联出现 J 波。患者的 AF 发病年龄较轻，且有家族性心源性猝死病史，强烈提示潜在的遗传性通道病。心脏磁共振成像显示，后壁的晚期钆增强与 J 波导联相匹配。VF 可能发生在青少年发病的 AF 中，特别是在有家族性心源性猝死病史的个体中。
