Presentation is loading. Please wait.

Presentation is loading. Please wait.

A case of Takotsubo cardiomyopathy showing two modes of initiation for ventricular fibrillation: Augmented J-wave and torsade de pointes with QT prolongation 

Published byMarie Lemelin Modified over 5 years ago

Similar presentations

Presentation on theme: "A case of Takotsubo cardiomyopathy showing two modes of initiation for ventricular fibrillation: Augmented J-wave and torsade de pointes with QT prolongation "— Presentation transcript:

1 A case of Takotsubo cardiomyopathy showing two modes of initiation for ventricular fibrillation: Augmented J-wave and torsade de pointes with QT prolongation  Masato Shimizu, MD, PhD, Mitsuhiro Nishizaki, MD, PhD, Noriyoshi Yamawake, MD, PhD, Hiroyuki Fujii, MD, Harumizu Sakudara, MD, PhD, Masayasu Hiraoka, MD, PhD, FHRS  HeartRhythm Case Reports  Volume 2, Issue 5, Pages (September 2016) DOI: /j.hrcr Copyright © 2016 Heart Rhythm Society Terms and Conditions

2 Figure 1 Left ventriculography (diastolic and systolic phases) exhibited akinesis of apical wall and hyperkinesis of basal wall. Angiography of the left coronary artery (LCA) and right coronary artery (RCA) showed no significant stenotic lesion. LAO = left anterior oblique; RAO caud = right anterior oblique and caudal angulation. HeartRhythm Case Reports 2016 2, DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

3 Figure 2 The time sequence of changes in electrocardiogram (ECG) records of leads V4–V6. (A) ECG recorded at 2 years before patient’s admission. No J-wave is visible. (B) ECG recorded on admission to coronary care unit (CCU) without J-wave. (C) Left image shows ECG recorded after 16 hours of her admission. Arrows show prominent J waves. The QT interval is prolonged. Right image presents ECG records after 72 hours of admission. Asterisks indicate disappearance of J-waves. QT interval is nearly normalized. VF = ventricular fibrillation. HeartRhythm Case Reports 2016 2, DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

4 Figure 3 Two modes of ventricular fibrillation (VF) initiation. (A) Successive accentuation of J-wave amplitudes (arrows) followed by the initiation of VF. (B) Short-long-short sequence by premature atrial contraction causing prolonged QT interval and the initiation of torsade de pointes that degenerated into VF. Dashed line indicates a short beat-by-beat interval. Thick line indicates a long beat-by-beat interval. HeartRhythm Case Reports 2016 2, DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Download ppt "A case of Takotsubo cardiomyopathy showing two modes of initiation for ventricular fibrillation: Augmented J-wave and torsade de pointes with QT prolongation "

Similar presentations

Augmented Vector Right Lead: A Game Changer in Acute Coronary Syndrome

Augmented Vector Right Lead: A Game Changer in Acute Coronary Syndrome
MediGuide-assisted atrial flutter ablation in a patient with a HeartMate II left ventricular assist device  Hien Kiem Nguyen Thanh, MD, Jason Andrade,

MediGuide-assisted atrial flutter ablation in a patient with a HeartMate II left ventricular assist device  Hien Kiem Nguyen Thanh, MD, Jason Andrade,
Henry C. Quevedo, MD, Georges Khoueiry, MD  HeartRhythm Case Reports 

Henry C. Quevedo, MD, Georges Khoueiry, MD  HeartRhythm Case Reports 
Successful ablation of premature ventricular contractions originating from the inferoseptal process of the left ventricle using a coronary sinus approach 

Successful ablation of premature ventricular contractions originating from the inferoseptal process of the left ventricle using a coronary sinus approach 
Atrioventricular hysteresis pacemaker mode promoting a short-long-short sequence at the onset of ventricular tachycardia  Neiberg de Alcantara Lima, MD,

Atrioventricular hysteresis pacemaker mode promoting a short-long-short sequence at the onset of ventricular tachycardia  Neiberg de Alcantara Lima, MD,
Appearance of J wave in the inferolateral leads and ventricular fibrillation provoked by mild hypothermia in a patient with Brugada syndrome  Yasuaki.

Appearance of J wave in the inferolateral leads and ventricular fibrillation provoked by mild hypothermia in a patient with Brugada syndrome  Yasuaki.
A subtype of idiopathic ventricular fibrillation and its relevance to catheter ablation and genetic variants  Takahiko Nishiyama, MD, Yoshiyasu Aizawa,

A subtype of idiopathic ventricular fibrillation and its relevance to catheter ablation and genetic variants  Takahiko Nishiyama, MD, Yoshiyasu Aizawa,
Intracoronary acetylcholine–induced augmentation of J waves: A case of idiopathic ventricular fibrillation  Shohei Kishi, MD, Koichi Fuse, MD, PhD, Hitoshi.

Intracoronary acetylcholine–induced augmentation of J waves: A case of idiopathic ventricular fibrillation  Shohei Kishi, MD, Koichi Fuse, MD, PhD, Hitoshi.
Acute right coronary artery occlusion after radiofrequency catheter ablation of cavotricuspid isthmus: Vascular response assessed by optical frequency.

Acute right coronary artery occlusion after radiofrequency catheter ablation of cavotricuspid isthmus: Vascular response assessed by optical frequency.
Premature ventricular contractions with two QRS morphologies originate from one focus in great cardiac vein  Juan Ma, MD, Ke-Xiang Wu, MD, Yu-Bin Wang,

Premature ventricular contractions with two QRS morphologies originate from one focus in great cardiac vein  Juan Ma, MD, Ke-Xiang Wu, MD, Yu-Bin Wang,
Iatrogenic atrial septal defect with right-to-left shunt following atrial fibrillation ablation in a patient with arrhythmogenic right ventricular cardiomyopathy 

Iatrogenic atrial septal defect with right-to-left shunt following atrial fibrillation ablation in a patient with arrhythmogenic right ventricular cardiomyopathy 
Challenges in the diagnosis and management of idiopathic ventricular fibrillation  Jonathan Lipton, MD, PhD, George J. Klein, MD, Raymond W. Sy, MBBS,

Challenges in the diagnosis and management of idiopathic ventricular fibrillation  Jonathan Lipton, MD, PhD, George J. Klein, MD, Raymond W. Sy, MBBS,
A case of scar-related ventricular tachycardia demonstrating termination with nonglobal capture at the site of concealed entrainment with dual slow conduction.

A case of scar-related ventricular tachycardia demonstrating termination with nonglobal capture at the site of concealed entrainment with dual slow conduction.
To the Editor— Leftward on left anterior oblique is not always septal!

To the Editor— Leftward on left anterior oblique is not always septal!
Is it bradycardia or something else causing symptoms?

Is it bradycardia or something else causing symptoms?
Quinidine effective for the management of ventricular and atrial arrhythmias associated with Brugada syndrome  Laura Halperin, BSc, Greg Mellor, MD, Mario.

Quinidine effective for the management of ventricular and atrial arrhythmias associated with Brugada syndrome  Laura Halperin, BSc, Greg Mellor, MD, Mario.
Novel CALM3 mutations in pediatric long QT syndrome patients support a CALM3- specific calmodulinopathy  Marie-A. Chaix, MD, MSc, Tamara T. Koopmann, PhD,

Novel CALM3 mutations in pediatric long QT syndrome patients support a CALM3- specific calmodulinopathy  Marie-A. Chaix, MD, MSc, Tamara T. Koopmann, PhD,
Ruchit Shah, MD, Vineet Kumar, MD, FHRS  HeartRhythm Case Reports 

Ruchit Shah, MD, Vineet Kumar, MD, FHRS  HeartRhythm Case Reports 
Use of topical lidocaine in eliminating mechanically stimulated ventricular fibrillation in a patient with short QT syndrome  Maria J. Farag, BS, Joseph.

Use of topical lidocaine in eliminating mechanically stimulated ventricular fibrillation in a patient with short QT syndrome  Maria J. Farag, BS, Joseph.
Left Ventricular Rupture Associated With Takotsubo Cardiomyopathy

Left Ventricular Rupture Associated With Takotsubo Cardiomyopathy

Similar presentations

Ads by Google