Jian Xiong, Djandan Tadum Arthur Vithran, Jingjing Chai, Zheng Cao, Zhixiao Wang, Xiaoyong Hu
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引用次数: 0
Abstract
Lambda (λ) waves are uncommon ECG markers of malignant arrhythmias, usually associated with channelopathies or transient ischemia. We report a 34-year-old man with recurrent syncope preceded by subxiphoid chest pain and diaphoresis. Admission ECG showed λ-like morphology in the inferior leads with dynamic ST changes. Laboratory tests and echocardiography were normal, while Holter monitoring demonstrated persistent ST-segment depression. Coronary angiography revealed diffuse right coronary artery disease with a critical 95% stenosis, treated with drug-eluting stent placement. ECG abnormalities resolved after PCI, and syncope did not return. Serial angiography over 3.5 years confirmed sustained stent patency.
期刊介绍：
The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients.
ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation.
ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.
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