[SCD-FORUM] 1E. Dr. Cannom's case. Dr. Li Zhang

[SCD Symposium]

Dear Dr. Cannom:
   Thank you so much for providing the ECG*** of your case patient  
upon my
request.


*** http://www.scd-symposium.org/files/Cannom.pdf

	From this ECG I noticed a prominent Osborn (or J) wave in most
of 12 leads except V1-2. The ST segment is slightly elevated. The QT
interval is normal. Such pattern may be seen in early repolarization
syndrome. In this particular case, I wonder whether this Osborn wave is
an indication of delayed conduction in some part of left ventricle due
to chronic coronary insufficiency, and therefore a substrate to
reentrant ventricular tachyarrhythmias. If this assumption were true, he
is under a high risk of VT/VF.
   You are the leading expert in this area, and you know much more about
this patient. I look forward to learning from you and from other experts
in this SCD-symposium.
Sincerely,

Li Zhang, MD
LDS Hospital, Intermountain Healthcare
University of Utah School of Medicine
Salt Lake City, UT
USA 
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