title: Acute myocardial infarction with a left main trunk lesion and documented lambda-like J waves.
abstract: 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.
authors.affiliation: Department of Emergency Medicine, Asahikawa Medical University, Japan.
authors.forename: Masaru
authors.initials: M
authors.lastname: Yamaki
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Sato
authors.forename: Ahmed
authors.initials: A
authors.lastname: Karim Talib
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nishiura
authors.forename: Akihiro
authors.initials: A
authors.lastname: Suzuki
authors.forename: Naofumi
authors.initials: N
authors.lastname: Kokita
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Akasaka
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Kawamura
authors.forename: Satoshi
authors.initials: S
authors.lastname: Fujita
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Hasebe
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology; D004562:Electrocardiography; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000628:therapy; D014474:Unconsciousness / Q000209:etiology; D014693:Ventricular Fibrillation / Q000209:etiology / Q000503:physiopathology