发热性疾病所揭示的伴有完全性右束支传导阻滞的 Brugada 综合征。

Brugada syndrome with complete right bundle branch block disclosed by a febrile illness.

作者信息

Shinohara Tetsuji, Takahashi Naohiko, Saikawa Tetsunori, Yoshimatsu Hironobu

机构信息

Department of Internal Medicine 1, Faculty of Medicine, Oita University, Oita.

出版信息

Intern Med. 2008;47(9):843-6. doi: 10.2169/internalmedicine.47.0791. Epub 2008 May 1.

DOI:10.2169/internalmedicine.47.0791

PMID:18451577

Abstract

The characteristic of right-bundle branch block (RBBB) pattern in Brugada syndrome (BS) is an atypical pattern without a wide S wave in left leads. We present a case of a patient with BS who had a typical ECG pattern of complete RBBB (CRBBB) with a wide S wave in the left leads which was disclosed by a febrile illness. Our observations suggest that physicians should be careful to evaluate ECG change in response to a febrile state, even if the ECG shows a typical CRBBB pattern with deep and wide S waves in the left leads.

摘要

Brugada综合征（BS）中右束支传导阻滞（RBBB）图形的特征是一种非典型图形，左胸导联无宽S波。我们报告一例BS患者，其在发热性疾病发作时出现了典型的完全性右束支传导阻滞（CRBBB）心电图图形，左胸导联有宽S波。我们的观察结果提示，即使心电图显示左胸导联有深而宽的S波的典型CRBBB图形，医生也应谨慎评估发热状态下的心电图变化。