title: Ventricular fibrillation during anesthesia in association with J waves in the left precordial leads in a child with coarctation of the aorta.
abstract: A 14-year-old boy with coarctation of the aorta who showed repeat ventricular fibrillation during anesthesia, and ultimately sudden cardiac death in school, is presented. Electrocardiography showed J waves in the left precordial leads, which became prominent after an episode of ventricular fibrillation. While some of the clinical features and electrophysiological findings were similar to those seen in Brugada syndrome, others were inconsistent. J waves in the left precordial leads should be recognized as a possible waveform change inducing ventricular fibrillation predominantly at rest.
authors.affiliation: Pediatrics, Institute of Clinical Medicine, University of Tsukuba, Tennodai, Japan. hhorigom@md.tsukuba.ac.jp
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Horigome
authors.forename: Osamu
authors.initials: O
authors.lastname: Shigeta
authors.forename: Keisuke
authors.initials: K
authors.lastname: Kuga
authors.forename: Takeshi
authors.initials: T
authors.lastname: Isobe
authors.forename: Yuzuru
authors.initials: Y
authors.lastname: Sakakibara
authors.forename: Iwao
authors.initials: I
authors.lastname: Yamaguchi
authors.forename: Akira
authors.initials: A
authors.lastname: Matsui
mesh_terms: D000293:Adolescent; D000768:Anesthesia, General; D001017:Aortic Coarctation / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D016757:Death, Sudden, Cardiac / Q000209:etiology; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D022062:Electrophysiologic Techniques, Cardiac; D006329:Heart Conduction System / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis; D008297:Male; D014693:Ventricular Fibrillation / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*