Abstract:
:J waves appear on an electrocardiogram as an elevation of the J point in the terminal portion of the QRS complex. J waves are often benign, but may be associated with malignant ventricular arrhythmias. In some cases, such problems appear to have been precipitated by propofol infusions. We observed a sudden increase in J waves and profound hypotension following a single intravenous dose of propofol in an 84-year-old woman with early repolarisation in the inferior ventricular wall. When early repolarisation (as shown by electrocardiographic J waves) is observed in the inferior ventricular wall pre-operatively, patients should be carefully monitored. Myocardial ischaemia and the use of drugs that might worsen J waves should be avoided.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Takaishi K,Kawahito S,Yamada H,Soeki T,Sata M,Kitahata Hdoi
10.1111/anae.12448subject
Has Abstractpub_date
2014-02-01 00:00:00pages
170-5issue
2eissn
0003-2409issn
1365-2044journal_volume
69pub_type
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