PMID- 26084458 OWN - NLM STAT- MEDLINE DCOM- 20150928 LR - 20150713 IS - 1349-3299 (Electronic) IS - 1349-2365 (Linking) VI - 56 IP - 4 DP - 2015 TI - Early-Morning Type Ventricular Fibrillation With J Wave. PG - 459-61 LID - 10.1536/ihj.14-394 [doi] AB - A 67-year-old man who had cardiopulmonary arrest (CPA) at home was admitted to our institution. His spontaneous circulation was restored by bystander cardiopulmonary resuscitation (CPR) performed by his wife and an automated external defibrillator (AED). J waves were observed in the inferior leads of an electrocardiogram. We performed an implantable cardioverter defibrillator (ICD) implantation. After the ICD implantation, appropriate shocks due to ventricular fibrillation (VF) were observed on interrogation of the ICD at a frequency of twice a month. Most VF events occurred in the early morning between 1:00 to 6:00, and ventricular premature contractions (VPCs) were detected just before the occurrence of VF. Since the VF events always occurred in the early morning, we started long-acting disopyramide (150 mg/day, before bedtime), which has a muscarinic receptor blocking action. As a result, he has not received any appropriate ICD shocks for more than two years. FAU - Fujino, Tadashi AU - Fujino T AD - Department of Cardiovascular Medicine, Toho University Faculty of Medicine. FAU - Yamazaki, Yukiko AU - Yamazaki Y FAU - Tsubota, Takaya AU - Tsubota T FAU - Ikeda, Takanori AU - Ikeda T LA - eng PT - Case Reports PT - Journal Article DEP - 20150618 PL - Japan TA - Int Heart J JT - International heart journal JID - 101244240 RN - 0 (Anti-Arrhythmia Agents) RN - GFO928U8MQ (Disopyramide) SB - IM MH - Aged MH - Anti-Arrhythmia Agents/administration & dosage MH - Cardiopulmonary Resuscitation/methods MH - Defibrillators, Implantable MH - Disopyramide/*administration & dosage MH - Electric Countershock/instrumentation/*methods MH - Electrocardiography/methods MH - *Heart Arrest/etiology/therapy MH - Humans MH - Male MH - Periodicity MH - Recurrence MH - Treatment Outcome MH - *Ventricular Fibrillation/complications/diagnosis/physiopathology/therapy EDAT- 2015/06/19 06:00 MHDA- 2015/09/29 06:00 CRDT- 2015/06/19 06:00 PHST- 2015/06/19 06:00 [entrez] PHST- 2015/06/19 06:00 [pubmed] PHST- 2015/09/29 06:00 [medline] AID - 10.1536/ihj.14-394 [doi] PST - ppublish SO - Int Heart J. 2015;56(4):459-61. doi: 10.1536/ihj.14-394. Epub 2015 Jun 18.