下壁导联出现J波和ST段抬高的无明显心脏病的自发性或诱发性心室颤动患者的临床特征。
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.
作者信息
Takagi M, Aihara N, Takaki H, Taguchi A, Shimizu W, Kurita T, Suyama K, Kamakura S
机构信息
Department of Internal Medicine, National Cardiovascular Center, National Cardiovascular Center Research Institute, Suita, Osaka, Japan.
出版信息
J Cardiovasc Electrophysiol. 2000 Aug;11(8):844-8. doi: 10.1111/j.1540-8167.2000.tb00062.x.
INTRODUCTION
The clinical characteristics of three patients with spontaneous or inducible ventricular fibrillation (VF) without apparent heart disease, who presented with J wave and ST segment elevation in inferior leads, are described.
METHODS AND RESULTS
All patients were male and experienced syncope. Their symptoms occurred at night or early in the morning. Holter ECG revealed infrequent premature ventricular complexes. Injection with disopyramide 2 mg/kg augmented ST segment elevation.
CONCLUSION
These characteristics were very similar to those of patients with Brugada syndrome. These three patients with these specific features might have a variant of Brugada syndrome.
引言
描述了三名无明显心脏病的自发性或诱发性心室颤动（VF）患者的临床特征，这些患者下壁导联出现J波和ST段抬高。
方法与结果
所有患者均为男性，均有晕厥症状。症状发生在夜间或清晨。动态心电图显示偶发室性早搏。静脉注射2mg/kg丙吡胺可使ST段抬高加剧。
结论
这些特征与Brugada综合征患者非常相似。这三名具有这些特定特征的患者可能患有Brugada综合征的一种变异型。
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