title: Vasospastic angina with J-wave pattern and polymorphic ventricular tachycardia effectively treated with quinidine.
abstract: BACKGROUND
  Myocardial ischemia during coronary spasm may generate malignant ventricular arrhythmias. The J-wave pattern was suggested to be a marker of a disorder associated with life-threatening arrhythmias.
  
  
  RESULTS
  We report the case of a patient with vasospastic angina and J-wave pattern in inferior and lateral leads associated with polymorphic ventricular tachycardia which was effectively treated only with quinidine-vasodilating drugs were not able to prevent the arrhythmia although they were effective in preventing ischemic events.
  
  
  CONCLUSIONS
  The J-wave pattern in inferolateral leads may be a sign of electrical vulnerability to lethal ventricular arrhythmia in patients suffering from vasospastic angina--quinidine can effectively prevent such arrhythmias in these patients.
authors: Department of Cardiology, Regional Medical Center, Opole, Poland. sacha@op.pl
authors: Jerzy
authors: J
authors: Sacha
authors: Szymon
authors: S
authors: Barabach
authors: Piotr
authors: P
authors: Feusette
authors: Piotr
authors: P
authors: Kukla
mesh_terms: D000788:Angina Pectoris, Variant / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D001281:Atrial Fibrillation / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D001282:Atrial Flutter / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D017115:Catheter Ablation / Q000379:methods; D003131:Combined Modality Therapy; D017147:Defibrillators, Implantable; D004359:Drug Therapy, Combination; D004562:Electrocardiography / Q000379:methods; D015716:Electrocardiography, Ambulatory / Q000379:methods; D005080:Exercise Test / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007547:Isosorbide / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D008981:Molsidomine / Q000627:therapeutic use; D011802:Quinidine / Q000627:therapeutic use*; D018570:Risk Assessment; D012720:Severity of Illness Index; D017180:Tachycardia, Ventricular / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome; D014700:Verapamil / Q000627:therapeutic use
chemical_list: D014700:Verapamil; D008981:Molsidomine; D011802:Quinidine; D007547:Isosorbide