Clinical and electrocardiogram data in 19 patients with a J wave at baseline or during provoked coronary spasms, and/or with ventricular fibrillation
| Patient . | Age (years) /sex . | At baseline . | During induced coronary spasm . | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| . | . | Leads of J wave . | Type of J wave . | Voltage (mV)/lead of Max-J wave . | Lead of augmented J wave . | Type of augmented J wave . | Voltage (mV)/lead of Max-J wave . | Drug/coronary resulting in augmented J wave . | Drug/coronary resulting in coronary spasm . | ST elevation . | VF . | Type of trigger premature beat . | R-on-T pattern . | Long-short sequence . |
| VSA-JW group with an augmented J wave | ||||||||||||||
| 1 | 66/M | Inf | Slur | 0.228/II | RP | Notch (coved) | 0.365/V2 | ACh/RCA | ACh/LAD, LCx, RCA | (+) | (+) | LBBB/NA | (+) | (+) |
| 2 | 43/M | Inf, LP | Slur | 0.218/aVF | RP | Notch (coved) | 0.487/V1 | ACh/RCA | ACh/ RCA | (+) | (+) | LBBB/LA | (+) | No |
| 3 | 59/M | Inf, LP | Slur | 0.105/aVF | Inf | Notch | 0.141/III | EM/RCA | EM/ RCA | (+) | (+) | LBBB/NA | (+) | No |
| 4 | 67/M | Inf, LP | Slur | 0.404/V4 | LP, LL | Slur (lambda) | 1.268/V5 | ACh/LCA | ACh/LAD, LCx | (+) | (+)a | LBBB/LA | (+) | (+) |
| 5 | 64/F | Inf | Slur | 0.158/aVF | Inf | Notch | 0.124/III | ACh/RCA | ACh/LAD, LCx, RCA | (+) | No | |||
| 6 | 53/M | Inf | Notch | 0.141/III | Inf | Notch | 0.327/III | EM/RCA | EM/ RCA | (+) | No | |||
| 7 | 59/M | Inf, LL | Notch | 0.218/III | LP, LL | Notch | 0.467/I | ACh/LCA | ACh/LAD | No | No | |||
| VSA-JW group without an augmented J wave | ||||||||||||||
| 8 | 68/M | Inf | Slur | 0.179/III | (−) | (−) | 0.141/III | (−) | ACh/LAD, RCA | (+) | No | |||
| 9 | 57/M | Inf | Slur | 0.303/aVF | (−) | (−) | 0.320/aVF | (−) | ACh/ LCx | (+) | No | |||
| 10 | 71/M | Inf | Slur | 0.474/III | (−) | (−) | 0.442/III | (−) | ACh/LAD, LCx, RCA | (+) | No | |||
| 11 | 75/M | LL | Slur | 0.421/aVL | (−) | (−) | 0.390/aVL | (−) | ACh/ RCA | (+) | No | |||
| 12 | 64/F | Inf | Notch | 0.290/aVF | (−) | (−) | 0.252/aVF | (−) | ACh/LDA, LCx | (+) | No | |||
| 13 | 54/M | LL | Notch | 0.284/V5 | (−) | (−) | 0.293/V5 | (−) | ACh/ RCA | (+) | No | |||
| 14 | 61/M | Inf, RP | Notch | 0.294/V3 | (−) | (−) | 0.280/V3 | (−) | ACh/LCx | (+) | No | |||
| VSA-non-JW group with a new appearance of J wave | ||||||||||||||
| 15 | 63/M | (−) | (−) | 0.061/IIIb | Inf | Slur | 0.143/III | ACh/RCA | ACh/LAD, RCA | (+) | No | |||
| 16 | 63/M | (−) | (−) | 0.052/IIIb | Inf | Notch | 0.123/III | ACh/RCA | ACh/LAD, LCx, RCA | (+) | No | |||
| 17 | 47/F | (−) | (−) | 0.024/IIIb | Inf | Notch | 0.167/III | ACh/RCA | ACh/LAD, RCA | (+) | No | |||
| 18 | 60/M | (−) | (−) | 0.010/aVFb | Inf | Notch | 0.140/aVF | ACh/RCA | ACh/ RCA | (+) | No | |||
| 19c | 64/M | (−) | (−) | 0.013/aVLb | aVL | Notch | 0.083/aVLb | ACh/LCA | ACh/LAD, LCx | No | (+)a | NBBB/NA | (+) | No |
| Patient . | Age (years) /sex . | At baseline . | During induced coronary spasm . | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| . | . | Leads of J wave . | Type of J wave . | Voltage (mV)/lead of Max-J wave . | Lead of augmented J wave . | Type of augmented J wave . | Voltage (mV)/lead of Max-J wave . | Drug/coronary resulting in augmented J wave . | Drug/coronary resulting in coronary spasm . | ST elevation . | VF . | Type of trigger premature beat . | R-on-T pattern . | Long-short sequence . |
| VSA-JW group with an augmented J wave | ||||||||||||||
| 1 | 66/M | Inf | Slur | 0.228/II | RP | Notch (coved) | 0.365/V2 | ACh/RCA | ACh/LAD, LCx, RCA | (+) | (+) | LBBB/NA | (+) | (+) |
| 2 | 43/M | Inf, LP | Slur | 0.218/aVF | RP | Notch (coved) | 0.487/V1 | ACh/RCA | ACh/ RCA | (+) | (+) | LBBB/LA | (+) | No |
| 3 | 59/M | Inf, LP | Slur | 0.105/aVF | Inf | Notch | 0.141/III | EM/RCA | EM/ RCA | (+) | (+) | LBBB/NA | (+) | No |
| 4 | 67/M | Inf, LP | Slur | 0.404/V4 | LP, LL | Slur (lambda) | 1.268/V5 | ACh/LCA | ACh/LAD, LCx | (+) | (+)a | LBBB/LA | (+) | (+) |
| 5 | 64/F | Inf | Slur | 0.158/aVF | Inf | Notch | 0.124/III | ACh/RCA | ACh/LAD, LCx, RCA | (+) | No | |||
| 6 | 53/M | Inf | Notch | 0.141/III | Inf | Notch | 0.327/III | EM/RCA | EM/ RCA | (+) | No | |||
| 7 | 59/M | Inf, LL | Notch | 0.218/III | LP, LL | Notch | 0.467/I | ACh/LCA | ACh/LAD | No | No | |||
| VSA-JW group without an augmented J wave | ||||||||||||||
| 8 | 68/M | Inf | Slur | 0.179/III | (−) | (−) | 0.141/III | (−) | ACh/LAD, RCA | (+) | No | |||
| 9 | 57/M | Inf | Slur | 0.303/aVF | (−) | (−) | 0.320/aVF | (−) | ACh/ LCx | (+) | No | |||
| 10 | 71/M | Inf | Slur | 0.474/III | (−) | (−) | 0.442/III | (−) | ACh/LAD, LCx, RCA | (+) | No | |||
| 11 | 75/M | LL | Slur | 0.421/aVL | (−) | (−) | 0.390/aVL | (−) | ACh/ RCA | (+) | No | |||
| 12 | 64/F | Inf | Notch | 0.290/aVF | (−) | (−) | 0.252/aVF | (−) | ACh/LDA, LCx | (+) | No | |||
| 13 | 54/M | LL | Notch | 0.284/V5 | (−) | (−) | 0.293/V5 | (−) | ACh/ RCA | (+) | No | |||
| 14 | 61/M | Inf, RP | Notch | 0.294/V3 | (−) | (−) | 0.280/V3 | (−) | ACh/LCx | (+) | No | |||
| VSA-non-JW group with a new appearance of J wave | ||||||||||||||
| 15 | 63/M | (−) | (−) | 0.061/IIIb | Inf | Slur | 0.143/III | ACh/RCA | ACh/LAD, RCA | (+) | No | |||
| 16 | 63/M | (−) | (−) | 0.052/IIIb | Inf | Notch | 0.123/III | ACh/RCA | ACh/LAD, LCx, RCA | (+) | No | |||
| 17 | 47/F | (−) | (−) | 0.024/IIIb | Inf | Notch | 0.167/III | ACh/RCA | ACh/LAD, RCA | (+) | No | |||
| 18 | 60/M | (−) | (−) | 0.010/aVFb | Inf | Notch | 0.140/aVF | ACh/RCA | ACh/ RCA | (+) | No | |||
| 19c | 64/M | (−) | (−) | 0.013/aVLb | aVL | Notch | 0.083/aVLb | ACh/LCA | ACh/LAD, LCx | No | (+)a | NBBB/NA | (+) | No |
VSA, vasospastic angina; JW, J wave; M, male; F, female; Inf, inferior leads; RP, right precordial leads; LP, left precordial leads; LL, left lateral lead; Ach, acetylcholine; EM, ergonovine maleate; LCA, left coronary artery; RCA, right coronary artery; LAD, left anterior descending coronary artery; LCx, circumflex coronary artery; VF, ventricular fibrillation; LBBB, left bundle branch block type; NBBB, non-bundle branch block type; NA, normal axis; LA, left axis deviation; Max-J wave, maximal J wave.
aA direct-current shock was needed to restore the sinus rhythm after VF.
bThe voltage of the Max-J wave was less than the positive criteria (≥0.1 mV).
cPatient 19 in the VSA-non JW group developed VF during coronary spasm with an embryonic J wave only in aVL.
Clinical and electrocardiogram data in 19 patients with a J wave at baseline or during provoked coronary spasms, and/or with ventricular fibrillation
| Patient . | Age (years) /sex . | At baseline . | During induced coronary spasm . | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| . | . | Leads of J wave . | Type of J wave . | Voltage (mV)/lead of Max-J wave . | Lead of augmented J wave . | Type of augmented J wave . | Voltage (mV)/lead of Max-J wave . | Drug/coronary resulting in augmented J wave . | Drug/coronary resulting in coronary spasm . | ST elevation . | VF . | Type of trigger premature beat . | R-on-T pattern . | Long-short sequence . |
| VSA-JW group with an augmented J wave | ||||||||||||||
| 1 | 66/M | Inf | Slur | 0.228/II | RP | Notch (coved) | 0.365/V2 | ACh/RCA | ACh/LAD, LCx, RCA | (+) | (+) | LBBB/NA | (+) | (+) |
| 2 | 43/M | Inf, LP | Slur | 0.218/aVF | RP | Notch (coved) | 0.487/V1 | ACh/RCA | ACh/ RCA | (+) | (+) | LBBB/LA | (+) | No |
| 3 | 59/M | Inf, LP | Slur | 0.105/aVF | Inf | Notch | 0.141/III | EM/RCA | EM/ RCA | (+) | (+) | LBBB/NA | (+) | No |
| 4 | 67/M | Inf, LP | Slur | 0.404/V4 | LP, LL | Slur (lambda) | 1.268/V5 | ACh/LCA | ACh/LAD, LCx | (+) | (+)a | LBBB/LA | (+) | (+) |
| 5 | 64/F | Inf | Slur | 0.158/aVF | Inf | Notch | 0.124/III | ACh/RCA | ACh/LAD, LCx, RCA | (+) | No | |||
| 6 | 53/M | Inf | Notch | 0.141/III | Inf | Notch | 0.327/III | EM/RCA | EM/ RCA | (+) | No | |||
| 7 | 59/M | Inf, LL | Notch | 0.218/III | LP, LL | Notch | 0.467/I | ACh/LCA | ACh/LAD | No | No | |||
| VSA-JW group without an augmented J wave | ||||||||||||||
| 8 | 68/M | Inf | Slur | 0.179/III | (−) | (−) | 0.141/III | (−) | ACh/LAD, RCA | (+) | No | |||
| 9 | 57/M | Inf | Slur | 0.303/aVF | (−) | (−) | 0.320/aVF | (−) | ACh/ LCx | (+) | No | |||
| 10 | 71/M | Inf | Slur | 0.474/III | (−) | (−) | 0.442/III | (−) | ACh/LAD, LCx, RCA | (+) | No | |||
| 11 | 75/M | LL | Slur | 0.421/aVL | (−) | (−) | 0.390/aVL | (−) | ACh/ RCA | (+) | No | |||
| 12 | 64/F | Inf | Notch | 0.290/aVF | (−) | (−) | 0.252/aVF | (−) | ACh/LDA, LCx | (+) | No | |||
| 13 | 54/M | LL | Notch | 0.284/V5 | (−) | (−) | 0.293/V5 | (−) | ACh/ RCA | (+) | No | |||
| 14 | 61/M | Inf, RP | Notch | 0.294/V3 | (−) | (−) | 0.280/V3 | (−) | ACh/LCx | (+) | No | |||
| VSA-non-JW group with a new appearance of J wave | ||||||||||||||
| 15 | 63/M | (−) | (−) | 0.061/IIIb | Inf | Slur | 0.143/III | ACh/RCA | ACh/LAD, RCA | (+) | No | |||
| 16 | 63/M | (−) | (−) | 0.052/IIIb | Inf | Notch | 0.123/III | ACh/RCA | ACh/LAD, LCx, RCA | (+) | No | |||
| 17 | 47/F | (−) | (−) | 0.024/IIIb | Inf | Notch | 0.167/III | ACh/RCA | ACh/LAD, RCA | (+) | No | |||
| 18 | 60/M | (−) | (−) | 0.010/aVFb | Inf | Notch | 0.140/aVF | ACh/RCA | ACh/ RCA | (+) | No | |||
| 19c | 64/M | (−) | (−) | 0.013/aVLb | aVL | Notch | 0.083/aVLb | ACh/LCA | ACh/LAD, LCx | No | (+)a | NBBB/NA | (+) | No |
| Patient . | Age (years) /sex . | At baseline . | During induced coronary spasm . | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| . | . | Leads of J wave . | Type of J wave . | Voltage (mV)/lead of Max-J wave . | Lead of augmented J wave . | Type of augmented J wave . | Voltage (mV)/lead of Max-J wave . | Drug/coronary resulting in augmented J wave . | Drug/coronary resulting in coronary spasm . | ST elevation . | VF . | Type of trigger premature beat . | R-on-T pattern . | Long-short sequence . |
| VSA-JW group with an augmented J wave | ||||||||||||||
| 1 | 66/M | Inf | Slur | 0.228/II | RP | Notch (coved) | 0.365/V2 | ACh/RCA | ACh/LAD, LCx, RCA | (+) | (+) | LBBB/NA | (+) | (+) |
| 2 | 43/M | Inf, LP | Slur | 0.218/aVF | RP | Notch (coved) | 0.487/V1 | ACh/RCA | ACh/ RCA | (+) | (+) | LBBB/LA | (+) | No |
| 3 | 59/M | Inf, LP | Slur | 0.105/aVF | Inf | Notch | 0.141/III | EM/RCA | EM/ RCA | (+) | (+) | LBBB/NA | (+) | No |
| 4 | 67/M | Inf, LP | Slur | 0.404/V4 | LP, LL | Slur (lambda) | 1.268/V5 | ACh/LCA | ACh/LAD, LCx | (+) | (+)a | LBBB/LA | (+) | (+) |
| 5 | 64/F | Inf | Slur | 0.158/aVF | Inf | Notch | 0.124/III | ACh/RCA | ACh/LAD, LCx, RCA | (+) | No | |||
| 6 | 53/M | Inf | Notch | 0.141/III | Inf | Notch | 0.327/III | EM/RCA | EM/ RCA | (+) | No | |||
| 7 | 59/M | Inf, LL | Notch | 0.218/III | LP, LL | Notch | 0.467/I | ACh/LCA | ACh/LAD | No | No | |||
| VSA-JW group without an augmented J wave | ||||||||||||||
| 8 | 68/M | Inf | Slur | 0.179/III | (−) | (−) | 0.141/III | (−) | ACh/LAD, RCA | (+) | No | |||
| 9 | 57/M | Inf | Slur | 0.303/aVF | (−) | (−) | 0.320/aVF | (−) | ACh/ LCx | (+) | No | |||
| 10 | 71/M | Inf | Slur | 0.474/III | (−) | (−) | 0.442/III | (−) | ACh/LAD, LCx, RCA | (+) | No | |||
| 11 | 75/M | LL | Slur | 0.421/aVL | (−) | (−) | 0.390/aVL | (−) | ACh/ RCA | (+) | No | |||
| 12 | 64/F | Inf | Notch | 0.290/aVF | (−) | (−) | 0.252/aVF | (−) | ACh/LDA, LCx | (+) | No | |||
| 13 | 54/M | LL | Notch | 0.284/V5 | (−) | (−) | 0.293/V5 | (−) | ACh/ RCA | (+) | No | |||
| 14 | 61/M | Inf, RP | Notch | 0.294/V3 | (−) | (−) | 0.280/V3 | (−) | ACh/LCx | (+) | No | |||
| VSA-non-JW group with a new appearance of J wave | ||||||||||||||
| 15 | 63/M | (−) | (−) | 0.061/IIIb | Inf | Slur | 0.143/III | ACh/RCA | ACh/LAD, RCA | (+) | No | |||
| 16 | 63/M | (−) | (−) | 0.052/IIIb | Inf | Notch | 0.123/III | ACh/RCA | ACh/LAD, LCx, RCA | (+) | No | |||
| 17 | 47/F | (−) | (−) | 0.024/IIIb | Inf | Notch | 0.167/III | ACh/RCA | ACh/LAD, RCA | (+) | No | |||
| 18 | 60/M | (−) | (−) | 0.010/aVFb | Inf | Notch | 0.140/aVF | ACh/RCA | ACh/ RCA | (+) | No | |||
| 19c | 64/M | (−) | (−) | 0.013/aVLb | aVL | Notch | 0.083/aVLb | ACh/LCA | ACh/LAD, LCx | No | (+)a | NBBB/NA | (+) | No |
VSA, vasospastic angina; JW, J wave; M, male; F, female; Inf, inferior leads; RP, right precordial leads; LP, left precordial leads; LL, left lateral lead; Ach, acetylcholine; EM, ergonovine maleate; LCA, left coronary artery; RCA, right coronary artery; LAD, left anterior descending coronary artery; LCx, circumflex coronary artery; VF, ventricular fibrillation; LBBB, left bundle branch block type; NBBB, non-bundle branch block type; NA, normal axis; LA, left axis deviation; Max-J wave, maximal J wave.
aA direct-current shock was needed to restore the sinus rhythm after VF.
bThe voltage of the Max-J wave was less than the positive criteria (≥0.1 mV).
cPatient 19 in the VSA-non JW group developed VF during coronary spasm with an embryonic J wave only in aVL.
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