Acute Myocardial Infarction with a Left Main Trunk Lesion and Documented Lambda-like J Waves

作者：Yamaki Masaru; Sato Nobuyuki^*; Talib Ahmed Karim; Nishiura Takeshi; Suzuki Akihiro; Kokita Naofumi; Akasaka Nobuyuki; Kawamura Yuichiro; Fujita Satoshi; Hasebe Naoyuki

来源：Internal Medicine, 2012, 51(19): 2757-2761.

DOI：10.2169/internalmedicine.51.7881

• J wave
• ventricular fibrillation
• myocardial infarction

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.

• 出版日期2012