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Prognostic Value of Early Repolarization Pattern in Development of VT/VF in Ischemic Heart Disease, Hypothermia, Etc.

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J Wave Syndromes

Abstract

The existence of a J wave/ER predicts prognosis of various heart diseases and extracardiac conditions. A large J with a horizontal or descending ST segment in the infero-lateral leads has arrhythmogenicity and this malignant type of J wave is common in various diseases. The existence of a J wave itself might be innocent, but additional pathological conditions, such as hypothermia, myocardial ischemia or heart failure, induce electrophysiological instability and result in lethal arrhythmias.

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Acknowledgement

This study was supported by JSPS KAKENHI Grant Number 24591051 and 15K09082 (to H.M.)、26860561 (to H.S.) and Grants from the Ministry of Health, Labor and Welfare of Japan for Clinical Research on Intractable Diseases (H26-040, H24-033 to H.M.).

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Authors and Affiliations

  1. Cardiovascular Therapeutics, Okayama University Graduate School of Medicine, 2-5-1 Shikata-cho, Kita-ku, 700-8558, Okayama, Japan

    Hiroshi Morita MD, PhD & Hiroki Sugiyama MD, PhD

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  1. Hiroshi Morita MD, PhD
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  2. Hiroki Sugiyama MD, PhD
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Correspondence to Hiroshi Morita MD, PhD .

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  1. Cardiovascular Research, Lankenau Institute for Medical Research, Wynnewood, Pennsylvania, USA

    Charles Antzelevitch

  2. Lankenau Institute for Medical Research, Lankenau Medical Center, Wynnewood, Pennsylvania, USA

    Gan-Xin Yan

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Morita, H., Sugiyama, H. (2016). Prognostic Value of Early Repolarization Pattern in Development of VT/VF in Ischemic Heart Disease, Hypothermia, Etc.. In: Antzelevitch, C., Yan, GX. (eds) J Wave Syndromes. Springer, Cham. https://doi.org/10.1007/978-3-319-31578-2_10

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