vestarВестник аритмологииJournal of Arrhythmology1561-86412658-7327НАО «Инкарт»vestar-573Research ArticleОБЗОРЫ ЛИТЕРАТУРЫ И МЕТА-АНАЛИЗЫREVIEWДИАГНОСТИЧЕСКОЕ ЗНАЧЕНИЕ J ВОЛНЫDIAGNOSTIC VALUE OF J-WAVEЛиманкинаИ. Н.LimankinaI. N.noemail@neicon.ruСанкт-Петербургская психиатрическая больница №1 им. П.П.КащенкоRussian Federation20122209202068685360Copyright © Лиманкина И.Н., 20202020Лиманкина И.Н.Limankina I.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestar.elpub.ru/jour/article/view/573

Рассматривается диагностическое значение J-волны, излагаются современные представления о синдроме Бругада, синдроме ранней реполяризации желудочков, идиопатической фибрилляции желудочков, их роли в возникновении внезапной аритмической смерти.

The diagnostic value of J-wave is considered, up-to-date concepts on Brugada syndrome, early ventricular repolarization syndrome, and idiopathic ventricular fibrillation, as well as their role in pathogeny of sudden arrhythmic death, are given.

синдром Бругадасиндром ранней реполяризации желудочковидиопатическая фибрилляция желудочковвнезапная аритмическая смертьJ-волнаJ-waveBrugada syndromeearly ventricular repolarization syndromeidiopathic ventricular fibrillationsudden arrhythmic deathReferencesYan GX, Antzelevitch C. Cellular basis for the electrocardiographic J wave. //Circulation. 1996; 93: 372-379.Yan GX, Antzelevitch C. Cellular basis for the electrocardiographic J wave. //Circulation. 1996; 93: 372-379.Yan GX, Yao QH, Wang DQ, Cui CC. Electrocardiographic J wave and J wave syndromes. //Chin J Cardiac Arrhyth. 2004; 8: 360-365.Yan GX, Yao QH, Wang DQ, Cui CC. Electrocardiographic J wave and J wave syndromes. //Chin J Cardiac Arrhyth. 2004; 8: 360-365.Shu J, Zhu T, Yang L, Cui C, Yan GX. ST-segment elevation in the early repolarization syndrome, idiopathic ventricular fibrillation, and the Brugada syndrome: cellular and clinical linkage. //J Electrocardiol. 2005; 38: 26-32.Shu J, Zhu T, Yang L, Cui C, Yan GX. ST-segment elevation in the early repolarization syndrome, idiopathic ventricular fibrillation, and the Brugada syndrome: cellular and clinical linkage. //J Electrocardiol. 2005; 38: 26-32.Gussak I, Bjerregaard P, Egan TM, et al. ECG phenomenon called J wave. //J Electrocardiol. 1995; 28: 49-58.Gussak I, Bjerregaard P, Egan TM, et al. ECG phenomenon called J wave. //J Electrocardiol. 1995; 28: 49-58.Rituparna S, Suresh S, Chandrashekhar M et al. Occurrence of “J Waves” in 12-Lead ECG as a Marker of Acute Ischemia and Their Cellular Basis. //Pacing Clin Electrophysiol. 2007; 30(6): 817-819.Rituparna S, Suresh S, Chandrashekhar M et al. Occurrence of “J Waves” in 12-Lead ECG as a Marker of Acute Ischemia and Their Cellular Basis. //Pacing Clin Electrophysiol. 2007; 30(6): 817-819.Ortega CJ. [Acute inferior myocardial infarction masking the J wave syndrome. Based on four observations]. // Med Intensiva. 2008; 32(1): 48-53.Ortega CJ. [Acute inferior myocardial infarction masking the J wave syndrome. Based on four observations]. // Med Intensiva. 2008; 32(1): 48-53.Gussak I, George S, Bojovic B, Vajdic B. ECG Phenomena of the Early Ventricular Repolarization in the 21 Century. //Indian Pacing Electrophysiol J. 2008; 8(3): 149-157.Gussak I, George S, Bojovic B, Vajdic B. ECG Phenomena of the Early Ventricular Repolarization in the 21 Century. //Indian Pacing Electrophysiol J. 2008; 8(3): 149-157.Ker J. and du Toit L. The accessory papillary muscle with inferior J-waves - peculiarity or hidden danger? //Cardiovasc Ultrasound. 2009; 7: 50.Ker J. and du Toit L. The accessory papillary muscle with inferior J-waves - peculiarity or hidden danger? //Cardiovasc Ultrasound. 2009; 7: 50.Boineau JP. The early repolarization variant-normal or a marker of heart disease in certain subjects. //J Electrocardiol. 2007; 40: 11-16.Boineau JP. The early repolarization variant-normal or a marker of heart disease in certain subjects. //J Electrocardiol. 2007; 40: 11-16.Antzelevitch С and Nof Е. Brugada Syndrome: Recent Advances and Controversies. //Curr Cardiol Rep. 2008; 10(5): 376-383.Antzelevitch С and Nof Е. Brugada Syndrome: Recent Advances and Controversies. //Curr Cardiol Rep. 2008; 10(5): 376-383.Fowler SJ, Priori SG. Genetic types with ST segment elevation in the right precordial leads. //Curr Opin Cardiol. 2009; 24: 74-81.Fowler SJ, Priori SG. Genetic types with ST segment elevation in the right precordial leads. //Curr Opin Cardiol. 2009; 24: 74-81.Ambardekar AV, Krantz MJ. The Brugada syndrome: The perfect storm of genetics and environment? //Int J Cardiol. 2009 Jan 19. [Epub ahead of print].Ambardekar AV, Krantz MJ. The Brugada syndrome: The perfect storm of genetics and environment? //Int J Cardiol. 2009 Jan 19. [Epub ahead of print].Sakabea M, Fujikia A, Tanib M et al. Proportion and prognosis of healthy people with coved or saddle-back type ST segment elevation in the right precordial leads during 10 years follow-up. //European Heart Journal 2003; 24(16):1488-1493.Sakabea M, Fujikia A, Tanib M et al. Proportion and prognosis of healthy people with coved or saddle-back type ST segment elevation in the right precordial leads during 10 years follow-up. //European Heart Journal 2003; 24(16):1488-1493.Kamakura S, Ohe T, Nakazawa K et al. Long-term prognosis of probands with Brugada-pattern ST-elevation in leads V1-V3. //Circ Arrhythm Electrophysiol. 2009; 2(5): 495-503.Kamakura S, Ohe T, Nakazawa K et al. Long-term prognosis of probands with Brugada-pattern ST-elevation in leads V1-V3. //Circ Arrhythm Electrophysiol. 2009; 2(5): 495-503.Viskin S, Fish R, Eldar M, et al. Prevalence of the Brugada sign in idiopathic ventricular fibrillation and healthy controls. //Heart. 2000; 84: 31-36.Viskin S, Fish R, Eldar M, et al. Prevalence of the Brugada sign in idiopathic ventricular fibrillation and healthy controls. //Heart. 2000; 84: 31-36.Remme CA, Wever EF, Wilde AA, Derksen R, Hauer RN. Diagnosis and long-term follow-up of the Brugada syndrome in patients with idiopathic ventricular fibrillation. //Eur Heart J 2001; 22: 400-409.Remme CA, Wever EF, Wilde AA, Derksen R, Hauer RN. Diagnosis and long-term follow-up of the Brugada syndrome in patients with idiopathic ventricular fibrillation. //Eur Heart J 2001; 22: 400-409.Rituparna S, Suresh S, Chandrashekhar M et al. Occurrence of “J Waves” in 12-Lead ECG as a Marker of Acute Ischemia and Their Cellular Basis. //Pacing Clin Electrophysiol. 2007; 30(6): 817-819.Rituparna S, Suresh S, Chandrashekhar M et al. Occurrence of “J Waves” in 12-Lead ECG as a Marker of Acute Ischemia and Their Cellular Basis. //Pacing Clin Electrophysiol. 2007; 30(6): 817-819.Ватутин Н.Т., Калинкина Н.В., Склянная Е.В., Михальченко Е.В. Синдром ранней реполяризации желуд очков. //Український Кардіологічний Журнал. 2011; 1: 98-104.Ватутин Н.Т., Калинкина Н.В., Склянная Е.В., Михальченко Е.В. Синдром ранней реполяризации желуд очков. //Український Кардіологічний Журнал. 2011; 1: 98-104.Wellens HJ. Early repolarization revisited. //N Engl J Med. 2008; 358: 2063-2065.Wellens HJ. Early repolarization revisited. //N Engl J Med. 2008; 358: 2063-2065.Riera PA, Uchida A, Schapachnik E et al. Early repolarization variant: Epidemiological aspects, mechanism, and differential diagnosis. //Cardiology J 2008; 15(1): 4-16.Riera PA, Uchida A, Schapachnik E et al. Early repolarization variant: Epidemiological aspects, mechanism, and differential diagnosis. //Cardiology J 2008; 15(1): 4-16.Yagihara N, Sato A, Iijima K et al. The prevalence of early repolarization in Wolff-Parkinson-White syndrome with a special reference to J waves and the effects of catheter ablation. //J Electrocardiol. 2011 Jun 24. [Epub ahead of print].Yagihara N, Sato A, Iijima K et al. The prevalence of early repolarization in Wolff-Parkinson-White syndrome with a special reference to J waves and the effects of catheter ablation. //J Electrocardiol. 2011 Jun 24. [Epub ahead of print].Watanabe H, Makiyama T, Koyama T et al. High prevalence of early repolarization in short QT syndrome. //Heart Rhythm 2010; 7(5): 647-652.Watanabe H, Makiyama T, Koyama T et al. High prevalence of early repolarization in short QT syndrome. //Heart Rhythm 2010; 7(5): 647-652.Haissaguerre M, Chatel S, Sacher F, et al. Ventricular fibrillation with prominent early repolarization associated with a rare variant of KCNJ8/KATP channel. //J Cardiovasc Electrophysiol. 2009; 20: 93-98.Haissaguerre M, Chatel S, Sacher F, et al. Ventricular fibrillation with prominent early repolarization associated with a rare variant of KCNJ8/KATP channel. //J Cardiovasc Electrophysiol. 2009; 20: 93-98.Burashnikov E, Pfeifer R, Borggrefe M, et al. Mutations in the cardiac L-type calcium channel associated with inherited sudden cardiac death syndromes. //Circulation. 2009; 120: S573.Burashnikov E, Pfeifer R, Borggrefe M, et al. Mutations in the cardiac L-type calcium channel associated with inherited sudden cardiac death syndromes. //Circulation. 2009; 120: S573.Vikram K Reddy, Susan M. Gapstur, Ronald Prineas et al. Ethnic Differences in ST Height in the Multi-Ethnic Study of Atherosclerosis. //Ann Noninvasive Electrocardiol. 2008; 13(4): 341-351.Vikram K Reddy, Susan M. Gapstur, Ronald Prineas et al. Ethnic Differences in ST Height in the Multi-Ethnic Study of Atherosclerosis. //Ann Noninvasive Electrocardiol. 2008; 13(4): 341-351.Otto CM, Tauxe RV, Cobb LA, et al. Ventricular fibrillation causes sudden death in Southeast Asian immigrants. //Ann Intern Med. 1984; 101: 45-47.Otto CM, Tauxe RV, Cobb LA, et al. Ventricular fibrillation causes sudden death in Southeast Asian immigrants. //Ann Intern Med. 1984; 101: 45-47.Munger RG, Booton EA. Bangungut in Manila: sudden and unexplained death in sleep of adult Filipinos. //Int J Epidemiol. 1998; 27: 677-684.Munger RG, Booton EA. Bangungut in Manila: sudden and unexplained death in sleep of adult Filipinos. //Int J Epidemiol. 1998; 27: 677-684.Centers for Disease Control (CDC) Sudden, unexpected, nocturnal deaths among Southeast Asian refugees. //MMWR Morb Mortal Wkly Rep. 1981; 30: 581-584.Centers for Disease Control (CDC) Sudden, unexpected, nocturnal deaths among Southeast Asian refugees. //MMWR Morb Mortal Wkly Rep. 1981; 30: 581-584.Aizawa Y, Tamura M, Chinushi M, et al. Idiopathic ventricular fibrillation and bradycardia-dependent intraventricular block. //Am Heart J. 1993;126: 1473-1474.Aizawa Y, Tamura M, Chinushi M, et al. Idiopathic ventricular fibrillation and bradycardia-dependent intraventricular block. //Am Heart J. 1993;126: 1473-1474.Gussak I, Antzelevitch C. Early Repolarization Syndrome: Clinical Characteristics and Possible Cellular and Ionic Mechanisms. //J Electrocardiol. 2000; 33: 299-309.Gussak I, Antzelevitch C. Early Repolarization Syndrome: Clinical Characteristics and Possible Cellular and Ionic Mechanisms. //J Electrocardiol. 2000; 33: 299-309.Choi J-I, Kim Y-H. A case of J wave syndrome with electrical storm and early repolarization pattern. //Journal of Cardiac Arrhythmia 2010; 11(4): 49-52.Choi J-I, Kim Y-H. A case of J wave syndrome with electrical storm and early repolarization pattern. //Journal of Cardiac Arrhythmia 2010; 11(4): 49-52.Garg A, Finneran W, Feld GK. Familial sudden cardiac death associated with a terminal QRS abnormality on surface 12-lead electrocardiogram in the index case. //J Cardiovasc Electrophysiol. 1998; 9: 642-647.Garg A, Finneran W, Feld GK. Familial sudden cardiac death associated with a terminal QRS abnormality on surface 12-lead electrocardiogram in the index case. //J Cardiovasc Electrophysiol. 1998; 9: 642-647.Takagi M, Aihara N, Takaki H, et al. Clinical characteristics of patients with spontaneous or inducible ventricular fibrillation without apparent heart disease presenting with J wave and ST segment elevation in inferior leads. //J Cardiovasc Electrophysiol 2000; 11: 844-848.Takagi M, Aihara N, Takaki H, et al. Clinical characteristics of patients with spontaneous or inducible ventricular fibrillation without apparent heart disease presenting with J wave and ST segment elevation in inferior leads. //J Cardiovasc Electrophysiol 2000; 11: 844-848.Maruyama M, Atarashi H, Ino T, et al. Osborn waves associated with ventricular fibrillation in a patient with vasospastic angina. //J Cardiovasc Electrophysiol 2002; 13: 486-489.Maruyama M, Atarashi H, Ino T, et al. Osborn waves associated with ventricular fibrillation in a patient with vasospastic angina. //J Cardiovasc Electrophysiol 2002; 13: 486-489.Kukla P, Jastrzbski M, Bacior B et al. Variant Brugada syndrome- mild ST segment elevation in inferior leads and aborted sudden cardiac death. //Kardiol Pol 2007; 65: 1494-1498.Kukla P, Jastrzbski M, Bacior B et al. Variant Brugada syndrome- mild ST segment elevation in inferior leads and aborted sudden cardiac death. //Kardiol Pol 2007; 65: 1494-1498.Bernard A, Genee O, Caroline Grimard C et al. Electrical storm reversible by isoproterenol infusion in a striking case of early repolarization. //J Interv Card Electrophysiol. 2009; 25(2): 123-127.Bernard A, Genee O, Caroline Grimard C et al. Electrical storm reversible by isoproterenol infusion in a striking case of early repolarization. //J Interv Card Electrophysiol. 2009; 25(2): 123-127.Haissaguerre M, Derval N, Sacher F, et al. Sudden cardiac arrest associated with early repolarization. //N Engl J Med 2008; 358: 2016-2023.Haissaguerre M, Derval N, Sacher F, et al. Sudden cardiac arrest associated with early repolarization. //N Engl J Med 2008; 358: 2016-2023.Haissaguerre M, Sacher F, Nogami A, et al. Characteristics of recurrent ventricular fibrillation associated with inferolateral early repolarization: role of drug therapy. //J Am Coll Cardiol 2009; 53: 612-619.Haissaguerre M, Sacher F, Nogami A, et al. Characteristics of recurrent ventricular fibrillation associated with inferolateral early repolarization: role of drug therapy. //J Am Coll Cardiol 2009; 53: 612-619.Abe A, Yoshino H, Ishiguro H, et al. Prevalence of J waves in 12-lead electrocardiogram in patients with syncope and no organic disorder. //J Cardiovasc Electrophysiol 2007; 18 (2): 88.Abe A, Yoshino H, Ishiguro H, et al. Prevalence of J waves in 12-lead electrocardiogram in patients with syncope and no organic disorder. //J Cardiovasc Electrophysiol 2007; 18 (2): 88.Rosso R, Kogan E, Belhassen B et al. J-point elevation in survivors of primary ventricular fibrillation and matched control subjects: incidence and clinical significance. //J Am Coll Cardiol 2008; 52: 1231-1238.Rosso R, Kogan E, Belhassen B et al. J-point elevation in survivors of primary ventricular fibrillation and matched control subjects: incidence and clinical significance. //J Am Coll Cardiol 2008; 52: 1231-1238.Merchant FM, Noseworthy PA, Weiner RB et al. Ability of terminal QRS notching to distinguish benign from malignant electrocardiographic forms of early repolarization. //Am J Cardiol. 2009; 104(10): 1402-1406.Merchant FM, Noseworthy PA, Weiner RB et al. Ability of terminal QRS notching to distinguish benign from malignant electrocardiographic forms of early repolarization. //Am J Cardiol. 2009; 104(10): 1402-1406.Tikkanen JT, Anttonen O, Junttila MJ, et al. Long-term outcome associated with early repolarization on electrocardiography. //N Engl J Med. 2009.Tikkanen JT, Anttonen O, Junttila MJ, et al. Long-term outcome associated with early repolarization on electrocardiography. //N Engl J Med. 2009.Antzelevitch C, Yan GX. J wave syndromes. //Heart Rhythm. 2010; 7(4): 549-558.Antzelevitch C, Yan GX. J wave syndromes. //Heart Rhythm. 2010; 7(4): 549-558.Riera PA, Uchida A, Schapachnik E et al. Early repolarization variant: Epidemiological aspects, mechanism, and differential diagnosis. //Cardiology J 2008; 15(1): 4-16.Riera PA, Uchida A, Schapachnik E et al. Early repolarization variant: Epidemiological aspects, mechanism, and differential diagnosis. //Cardiology J 2008; 15(1): 4-16.Miyazaki S, Shah AJ, Haissaguerre (Early Repolarization Syndrome - A New Electrical Disorder Associated With Sudden Cardiac Death. //Circ J 2010; 74: 2039-2044.Miyazaki S, Shah AJ, Haissaguerre (Early Repolarization Syndrome - A New Electrical Disorder Associated With Sudden Cardiac Death. //Circ J 2010; 74: 2039-2044.Qi X, Sun F, An X, Yang J. A case of Brugada syndrome with ST segment elevation through entire precordial leads. //Chin J Cardiol. 2004; 32: 272-273.Qi X, Sun F, An X, Yang J. A case of Brugada syndrome with ST segment elevation through entire precordial leads. //Chin J Cardiol. 2004; 32: 272-273.Matsuo K, Shimizu W, Kurita T, et al. Increased dispersion of repolarization time determined by monophasic action potentials in two patients with familial idiopathic ventricular fibrillation. //J Cardiovasc Electrophysiol. 1998; 9:74-83.Matsuo K, Shimizu W, Kurita T, et al. Increased dispersion of repolarization time determined by monophasic action potentials in two patients with familial idiopathic ventricular fibrillation. //J Cardiovasc Electrophysiol. 1998; 9:74-83.Dekker LR, Bezzina CR, Henriques JP, et al. Familial sudden death is an important risk factor for primary ventricular fibrillation: a case-control study in acute myocardial infarction patients. //Circulation 2006; 114: 1140-1145.Dekker LR, Bezzina CR, Henriques JP, et al. Familial sudden death is an important risk factor for primary ventricular fibrillation: a case-control study in acute myocardial infarction patients. //Circulation 2006; 114: 1140-1145.Noda T, Shimizu W, Taguchi A, Satomi K, Suyama K, Kurita T, et al. ST-segment elevation and ventricular fibrillation without coronary spasm by intracoronary injection of acetylcholine and/or ergonovine maleate in patients with Brugada syndrome. //J Am Coll Cardiol. 2002; 40: 1841-1847.Noda T, Shimizu W, Taguchi A, Satomi K, Suyama K, Kurita T, et al. ST-segment elevation and ventricular fibrillation without coronary spasm by intracoronary injection of acetylcholine and/or ergonovine maleate in patients with Brugada syndrome. //J Am Coll Cardiol. 2002; 40: 1841-1847.Hu D, Viskin S, Oliva A, et al. Novel mutation in the SCN5A gene associated with arrhythmic storm development during acute myocardial infarction. //Heart Rhythm 2007; 4: 1072-1080.Hu D, Viskin S, Oliva A, et al. Novel mutation in the SCN5A gene associated with arrhythmic storm development during acute myocardial infarction. //Heart Rhythm 2007; 4: 1072-1080.Oliva A, Hu D, Viskin S et al. SCN5A Mutation associated with acute myocardial infarction. //Leg Med (Tokyo). 2009; 11(1): 206.Oliva A, Hu D, Viskin S et al. SCN5A Mutation associated with acute myocardial infarction. //Leg Med (Tokyo). 2009; 11(1): 206.Antzelevitch C, Yan GX. J-wave syndromes. From cell to bedside. //J Electrocardiol. 2011 Sep 9. [Epub ahead of print].Antzelevitch C, Yan GX. J-wave syndromes. From cell to bedside. //J Electrocardiol. 2011 Sep 9. [Epub ahead of print].Borggrefe М and Schimpf R. J-Wave Syndromes Caused by Repolarization or Depolarization Mechanisms: A Debated Issue Among Experimental and Clinical Electrophysiologists. //J Am Coll Cardiol, 2010; 55: 798-800.Borggrefe М and Schimpf R. J-Wave Syndromes Caused by Repolarization or Depolarization Mechanisms: A Debated Issue Among Experimental and Clinical Electrophysiologists. //J Am Coll Cardiol, 2010; 55: 798-800.Surawicz B, Macfarlane PW. Inappropriate and confusing electrocardiographic terms: J-wave syndromes and early repolarization. //J Am Coll Cardiol. 2011; 57(15): 1584-1586.Surawicz B, Macfarlane PW. Inappropriate and confusing electrocardiographic terms: J-wave syndromes and early repolarization. //J Am Coll Cardiol. 2011; 57(15): 1584-1586.Gussak I, Bjerregaard P, Kostis J. Electrocardiographic ‘Lambda’ wave and primary idiopathic cardiac asystole: a new clinical syndrome? //J Electrocardiol 2004; 37(2): 105-107.Gussak I, Bjerregaard P, Kostis J. Electrocardiographic ‘Lambda’ wave and primary idiopathic cardiac asystole: a new clinical syndrome? //J Electrocardiol 2004; 37(2): 105-107.Riera AR, Ferreira C, Schapachnik E et al. Brugada syndrome with atypical ECG: downsloping ST-segment elevation in inferior leads. //J Electrocardiol 2004; 37(2): 101-104.Riera AR, Ferreira C, Schapachnik E et al. Brugada syndrome with atypical ECG: downsloping ST-segment elevation in inferior leads. //J Electrocardiol 2004; 37(2): 101-104.Riera AR. Proposal of classification of type I Brugada ECG pattern. //Personal communication 2008.Riera AR. Proposal of classification of type I Brugada ECG pattern. //Personal communication 2008.Kukla P, Jastrzebski M, Sacha J et al. Lambda-like ST segment elevation in acute myocardial infarction - a new risk marker for ventricular fibrillation? Three case reports. //Kardiol Pol 2008; 66: 873-877.Kukla P, Jastrzebski M, Sacha J et al. Lambda-like ST segment elevation in acute myocardial infarction - a new risk marker for ventricular fibrillation? Three case reports. //Kardiol Pol 2008; 66: 873-877.

The authors declare that there are no conflicts of interest present.