Hiuge Yuki, Ohta Noriyuki, Hirata Takahiko, Mori Takahiko
Department of Anesthesia, Osaka General Medical Center, Osaka 558-8558.
Masui. 2004 Jun;53(6):693-5.
Brugada syndrome is an arrhythmia syndrome characterized by typical electrocardiogram (Brugada-type ECG) and development of ventricular fibrillation (Vf) without any distinct structural heart diseases. The essential goal in the management of Brugada syndrome is to avoid the development of Vf. However, there has been no established consensus on pre-operative risk assessment of patients with Brugada-type ECG. We recently experienced two cases of anesthetic managements for patients with Brugada-type ECG. Based on these experiences and recent cardiological progress on the risk stratification of Brugada syndrome, we thoroughly discuss on the peri-operative managements for patients with Brugada-type ECG.
布加综合征是一种心律失常综合征,其特征为典型心电图(布加型心电图)以及在无任何明显结构性心脏病的情况下发生心室颤动(室颤)。布加综合征管理的主要目标是避免室颤的发生。然而,对于布加型心电图患者的术前风险评估尚无既定共识。我们最近遇到了两例布加型心电图患者的麻醉管理情况。基于这些经验以及近期心脏病学在布加综合征风险分层方面的进展,我们深入讨论了布加型心电图患者的围手术期管理。