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Revista argentina de cardiología

On-line version ISSN 1850-3748

Abstract

DORANTES SANCHEZ, Margarita; VAZQUEZ CRUZ, Alfredo; CASTRO HEVIA, Jesús  and  MENDEZ ROSABAL, Annerys. Transient J Wave after Resuscitation from Ventricular Fibrillation. Rev. argent. cardiol. [online]. 2013, vol.81, n.3, pp.268-271. ISSN 1850-3748.

Early repolarization is a common benign electrocardiographic finding, sometimes associated with idiopathic ventricular fibrillation. We present the case of a 38-year-old woman, without structural heart disease and no family history of sudden cardiac death, who underwent resuscitation from an episode of ventricular fibrillation. One week before the episode she had ventricular extrasystoles. A transient and prominent J-wave, immediately after defibrillation, which subsequently decreased and disappeared and a transient short QT interval were detected. An automatic cardioverter-defibrillator was implanted and quinidine was administered. Her evolution has been satisfactory with no recurrences. Early repolarization could be a sign, a syndrome, or a marker associated to idiopathic ventricular fibrillation.

Keywords : Ventricular Fibrillation; Death; Sudden Cardiac; Cardiopulmonary Resuscitation.

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