Open AccessBrugada syndrome associated with J waves in multiple leads and “pseudo‐epsilon” wiggle waves in lateral leads: Possible conduction delay in J‐wave syndrome
Author(s) -
Ishibashi Kazuya,
Takeda Mitsuo,
Yamahara Yasuhiro,
Shiraishi Hirokazu,
Shirayama Takeshi,
Matsubara Hiroaki
Publication year - 2012
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2011.11.002
Subject(s) - brugada syndrome , medicine , j wave , t wave , ventricular fibrillation , qrs complex , cardiology , electrocardiography
We present a case of Brugada syndrome associated with augmentation of multiple J waves and the presence of “pseudo‐epsilon” wiggle waves in the lateral leads. Just after ventricular fibrillation (VF), J waves were prominent in leads V1 through V4 and in the inferior leads. Moreover, pseudo‐epsilon wiggle waves were recorded at the terminal portion of the QRS‐complexes in leads V5 and V6. Oral administration of quinidine eliminated the epsilon‐like waves and J waves, thus completely suppressing VF. In this case, both the pseudo‐epsilon wiggle waves in the lateral leads and the J waves were thought to be associated with VF. In this case report, we discuss the etiology of J‐wave syndrome from the perspective of the appearance of epsilon‐like delayed waves.