Kawaguchi Yoko, Kushikata Tetsuya, Hashiba Eiji, Kitayama Masatou, Yoshida Hitoshi, Ishihara Hironori, Matsuki Akitomo, Hirota Kazuyoshi
Department of Anesthesiology, University of Hirosaki, School of Medicine, Hirosaki 036-8562.
Masui. 2006 Feb;55(2):142-9.
Brugada syndrome should not be neglected in terms of anesthetic management because its perioperative autonomic imbalance may cause ventricular fibrillation and sudden cardiac arrest. Diagnosis of Brugada syndrome is easily made by unique electrocardiographic pattern of right bundle branch block and ST segment elevation in the right precordial leads. Thus the number of patients with Brugada syndrome for anesthetic management tends to increase. We review current concept of anesthetic management for patients with Brugada syndrome including fourteen cases in our institution, two out of which developed VF during operation.
就麻醉管理而言，不应忽视Brugada综合征，因为其围手术期自主神经失衡可能导致室颤和心搏骤停。Brugada综合征通过右束支传导阻滞和右胸前导联ST段抬高的独特心电图模式很容易诊断。因此，接受麻醉管理的Brugada综合征患者数量有增加趋势。我们回顾了Brugada综合征患者麻醉管理的当前概念，包括我们机构的14例病例，其中2例在手术期间发生了室颤。
