J wave and ST segment elevation in the inferior leads: a latent type of variant Brugada syndrome?

Jpn Heart J. 2002 Jan;43(1):55-60. doi: 10.1536/jhj.43.55.

Abstract

In a patient referred for the evaluation of non-sustained monomorphic ventricular tachycardia on Holter recordings, ventricular fibrillation was electrically induced during electrophysiologic study. Despite the absence of structural heart diseases, his ECG revealed J wave and ST segment elevation in the inferior leads, which showed circadian variation and were augmented by the sodium channel blocker, pilsicainide. This case might lead us to notice a new concept, a 'latent' type of variant Brugada syndrome, and these ECG findings and changes might serve as its diagnostic sign.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bundle-Branch Block / diagnosis*
  • Diagnosis, Differential
  • Electrocardiography*
  • Humans
  • Lidocaine / analogs & derivatives
  • Lidocaine / pharmacology
  • Male
  • Sodium Channel Blockers / pharmacology
  • Syndrome
  • Tachycardia, Ventricular / diagnosis*
  • Ventricular Fibrillation / diagnosis

Substances

  • Sodium Channel Blockers
  • Lidocaine
  • pilsicainide