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摄入致死剂量地昔帕明后下壁和胸前导联同时出现ST段抬高：一种新型的Brugada样心电图模式。

Simultaneous ST-segment elevation in inferior and precordial leads following ingestion of a lethal dose of desipramine: a novel Brugada-like EKG pattern.

作者信息

Sheikh Mujeeb, Kanjwal Khalil, Kasmani Rahil, Chutani Surendra, Maloney James D

机构信息

The University of Toledo Medical Center, 3000 Arlington ave, Toledo, OH, 43614, USA.

出版信息

J Interv Card Electrophysiol. 2010 Jun;28(1):35-8. doi: 10.1007/s10840-009-9412-9. Epub 2009 Jul 29.

DOI:10.1007/s10840-009-9412-9
PMID:19639399
Abstract

The typical Brugada electrocardiographic (EKG) pattern includes ST-segment elevation in the right precordial leads (V1-V3) associated with right bundle branch block (rSR') like morphology. Recently, a Brugada-like EKG pattern with ST-segment elevation in inferior leads called the "Brugada variant" has been reported. We report a case of simultaneous typical and variant Brugada EKG patterns with ST-segment elevation in the inferior as well as the precordial leads following ingestion of a lethal dose of desipramine.

摘要

典型的Brugada心电图（EKG）模式包括右胸前导联（V1-V3）ST段抬高，并伴有类似右束支传导阻滞（rSR'）的形态。最近，有报道称一种在 inferior导联出现ST段抬高的类似Brugada心电图模式，称为“Brugada变异型”。我们报告了一例在摄入致死剂量的地昔帕明后，同时出现典型和变异型Brugada心电图模式，表现为 inferior导联和胸前导联ST段抬高的病例。

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Emerg Med J. 2008 Feb;25(2):117-8. doi: 10.1136/emj.2007.052829.
2
Incidence of Brugada electrocardiographic pattern and outcomes of these patients after intentional tricyclic antidepressant ingestion.三环类抗抑郁药过量服用后患者出现Brugada心电图模式的发生率及预后。
Am J Cardiol. 2007 Aug 15;100(4):656-60. doi: 10.1016/j.amjcard.2007.03.077. Epub 2007 Jun 26.
3
Brugada electrocardiographic pattern induced by cocaine toxicity.
可卡因中毒诱发的 Brugada 心电图模式。
Ann Emerg Med. 2007 Jun;49(6):827-9. doi: 10.1016/j.annemergmed.2007.01.027.
4
Simultaneous ST-segment elevation in the right precordial and inferior leads in Brugada syndrome.布加综合征中右胸前导联和下壁导联同时出现ST段抬高。
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