Acute Myocardial Infarction with a Left Main Trunk Lesion and Documented Lambda-like J Waves
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- Yamaki Masaru
- Department of Emergency Medicine, Asahikawa Medical University, Japan
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- Sato Nobuyuki
- Department of Cardiology, Asahikawa Medical University, Japan
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- Karim Talib Ahmed
- Department of Cardiology, Asahikawa Medical University, Japan
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- Nishiura Takeshi
- Department of Emergency Medicine, Asahikawa Medical University, Japan
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- Suzuki Akihiro
- Department of Emergency Medicine, Asahikawa Medical University, Japan
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- Kokita Naofumi
- Department of Emergency Medicine, Asahikawa Medical University, Japan
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- Akasaka Nobuyuki
- Department of Emergency Medicine, Asahikawa Medical University, Japan
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- Kawamura Yuichiro
- Department of Cardiology, Asahikawa Medical University, Japan
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- Fujita Satoshi
- Department of Emergency Medicine, Asahikawa Medical University, Japan
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- Hasebe Naoyuki
- Department of Cardiology, Asahikawa Medical University, Japan
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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.<br>
Journal
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- Internal Medicine
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Internal Medicine 51 (19), 2757-2761, 2012
The Japanese Society of Internal Medicine
