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儿童Brugada综合征:一种儿科医生并非总能识别的潜在致命性心律失常。病例报告及文献综述

Brugada syndrome in childhood: a potential fatal arrhythmia not always recognised by paediatricians. A case report and review of the literature.

作者信息

Mivelaz Yvan, Di Bernardo Stefano, Pruvot Etienne, Meijboom Erik Jan, Sekarski Nicole

机构信息

Paediatric Cardiology, Lausanne University Hospital, CHUV, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland.

出版信息

Eur J Pediatr. 2006 Aug;165(8):507-11. doi: 10.1007/s00431-006-0150-z. Epub 2006 May 3.

DOI:10.1007/s00431-006-0150-z
PMID:16670860
Abstract

We report on a youngster followed by his paediatrician from birth until 14 years of age for premature beats, most likely of ventricular origin. The sudden death of his sister provoked a re-assessment of his electrocardiograms (ECG), resulting in the diagnosis of Brugada syndrome and the subsequent implantation of a cardioverter defibrillator. This syndrome is a well known entity in adult cardiology, first described by Brugada and Brugada in 1992. It is considered to be the second most common cause of death in young adults after road traffic accidents. In children, however, the Brugada syndrome is not well known and we believe to be certainly underdiagnosed.

摘要

我们报告一名自出生起至14岁一直由儿科医生随访的青少年,其患有早搏,最可能起源于心室。他妹妹的突然死亡促使对其心电图进行重新评估,结果诊断为布加综合征,并随后植入了心脏复律除颤器。该综合征在成人心脏病学中是一个广为人知的病症,于1992年由布加兄弟首次描述。它被认为是继道路交通事故之后年轻人中第二常见的死亡原因。然而,在儿童中,布加综合征并不为人熟知,我们认为其肯定存在诊断不足的情况。

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Feasibility and outcomes of ajmaline provocation testing for Brugada syndrome in children in a specialist paediatric inherited cardiovascular diseases centre.在一家专门的儿科遗传性心血管疾病中心,对儿童进行阿马林激发试验诊断 Brugada 综合征的可行性和结果。
Open Heart. 2014 Feb 12;1(1):e000023. doi: 10.1136/openhrt-2013-000023. eCollection 2014.
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本文引用的文献

1
Monomorphic ventricular tachycardia due to Brugada syndrome successfully treated by hydroquinidine therapy in a 3-year-old child.一名3岁儿童因布加综合征导致的单形性室性心动过速经氢奎尼丁治疗成功治愈。
J Cardiovasc Electrophysiol. 2006 Jan;17(1):97-100. doi: 10.1111/j.1540-8167.2005.00329.x.
2
Cardiac histological substrate in patients with clinical phenotype of Brugada syndrome.具有Brugada综合征临床表型患者的心脏组织学基质
Circulation. 2005 Dec 13;112(24):3680-7. doi: 10.1161/CIRCULATIONAHA.105.520999.
3
Developmental aspects of long QT syndrome type 3 and Brugada syndrome on the basis of a single SCN5A mutation in childhood.
致心律失常性右室发育不良的心电图表现
Curr Cardiol Rev. 2014 Aug;10(3):237-45. doi: 10.2174/1573403x10666140514102928.
4
Childhood brugada syndrome in two korean families.两韩国家族中的儿童 Brugada 综合征。
Korean Circ J. 2010 Mar;40(3):143-7. doi: 10.4070/kcj.2010.40.3.143. Epub 2010 Mar 24.
基于儿童期单一SCN5A突变的3型长QT综合征和Brugada综合征的发育方面
J Am Coll Cardiol. 2005 Jul 19;46(2):331-7. doi: 10.1016/j.jacc.2005.03.066.
4
Should patients with an asymptomatic Brugada electrocardiogram undergo pharmacological and electrophysiological testing?无症状Brugada心电图表现的患者是否应接受药物和电生理检查?
Circulation. 2005 Jul 12;112(2):279-92; discussion 279-92.
5
Prevalence and clinical course of the juveniles with Brugada-type ECG in Japanese population.日本人群中具有Brugada型心电图的青少年的患病率及临床病程。
Pacing Clin Electrophysiol. 2005 Jun;28(6):549-54. doi: 10.1111/j.1540-8159.2005.40020.x.
6
Pathophysiological mechanisms of Brugada syndrome: depolarization disorder, repolarization disorder, or more?Brugada综合征的病理生理机制:去极化障碍、复极化障碍,还是更多?
Cardiovasc Res. 2005 Aug 15;67(3):367-78. doi: 10.1016/j.cardiores.2005.03.005.
7
Near-miss SIDS due to Brugada syndrome.因布加综合征导致的近猝死型婴儿猝死综合征
Arch Dis Child. 2005 May;90(5):528-9. doi: 10.1136/adc.2004.058115.
8
The Brugada ECG pattern in a neonate.新生儿的Brugada心电图模式。
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9
Brugada syndrome: report of the second consensus conference: endorsed by the Heart Rhythm Society and the European Heart Rhythm Association.布加综合征:第二届共识会议报告:得到心律学会和欧洲心律协会认可。
Circulation. 2005 Feb 8;111(5):659-70. doi: 10.1161/01.CIR.0000152479.54298.51. Epub 2005 Jan 17.
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Prevalence and time of appearance of Brugada electrocardiographic pattern in young male adolescents from a three-year follow-up study.一项为期三年的随访研究中年轻男性青少年Brugada心电图模式的患病率及出现时间
Am J Cardiol. 2004 Nov 1;94(9):1186-9. doi: 10.1016/j.amjcard.2004.07.092.