Transient left septal fascicular block in the setting of acute coronary syndrome associated with giant slurring variant J ‐wave

We report a case of acute coronary syndrome with transient prominent anterior QRS forces (PAF) caused by proximal subocclusion of the left anterior descending (LAD) coronary artery before the first septal perforator branch. The ECG change indicates left septal fascicular block (LSFB) with associated slurring‐type giant J‐wave. Currently, this J‐wave variant is considered as a lambda‐like wave or QRS‐ST‐T “triangulation”. Its presence is indicative of poor prognosis because of the risk for cardiac arrest as a consequence of ventricular tachycardia/ventricular fibrillation (VT/VF).

Source: Annals of Noninvasive Electrocardiology - January 1, 2018 Category: Cardiology Authors: Andr és Ricardo Pérez‐Riera, Raimundo Barbosa‐Barros, Wallam Lima Aragão, Rodrigo Daminello‐Raimundo, Luiz Carlos Abreu, Joseane Elza Tonussi Mendes Rossette do Valle, Isabel Cristina Esposito Sorpreso, Kjell Nikus Tags: CASE REPORT Source Type: research