title: [Right precordial leads and sudden death. Relation with arrhythmogenic right ventricular dysplasia].
abstract: Non-coronary ST-segment elevation during right sided chest pain has been described in subjects with episodes of ventricular fibrillation at rest. This syndrome has been attributed to functional phenomena or to structural myocardial changes. A personal case has features belonging to two categories: ST-segment elevation observed before, during and after episodes of arrhythmia was compared to 11 previously recorded ECG recordings. Right ventricular dysplasia was shown by electrocardiography, electrophysiology and echocardiography. In addition, ST-segment elevation is classified in 3 categories: triangular and dome-shaped are the most commonly observed forms during the arrhythmias: the third form with "saddle"-shaped appearances has not been previously described and would seem to be a minor equivalent observed during intercritical periods. This form is found in 30% of clinically documented cases of arrhythmogenic right ventricular dysplasia.
authors.affiliation: Service de rythmologie et de stimulation cardiaque, hôpital Jean-Rostand, Ivry.
authors.forename: G
authors.initials: G
authors.lastname: Fontaine
authors.forename: O
authors.initials: O
authors.lastname: Piot
authors.forename: P
authors.initials: P
authors.lastname: Sohal
authors.forename: Y
authors.initials: Y
authors.lastname: Issi
authors.forename: F
authors.initials: F
authors.lastname: Fontaliran
authors.forename: G
authors.initials: G
authors.lastname: Pettelot
authors.forename: Z
authors.initials: Z
authors.lastname: Mallat
authors.forename: R
authors.initials: R
authors.lastname: Gourbat
authors.forename: R
authors.initials: R
authors.lastname: Frank
mesh_terms: D001145:Arrhythmias, Cardiac / Q000209:etiology*; D002304:Cardiac Pacing, Artificial; D016757:Death, Sudden, Cardiac / Q000209:etiology / Q000517:prevention & control; D004562:Electrocardiography; D006352:Heart Ventricles / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018497:Ventricular Dysfunction, Right / Q000150:complications* / Q000175:diagnosis / Q000628:therapy
vernacular_title: Dérivations en précordiales droites et mort subite. Relation avec la dysplasie ventriculaire droite arythmogène.