一例 Brugada 综合征伴无休止多形性室性心动过速。
A case of Brugada syndrome presenting with incessant polymorphic ventricular tachycardia.
机构信息
Section of Cardiology, Department of Medicine, Baylor College of Medicine, 1504 Taub Loop, Houston, TX 77030, USA.
出版信息
Clin Cardiol. 2010 Mar;33(3):E33-5. doi: 10.1002/clc.20641.
Abstract
Brugada syndrome, an inherited arrhythmogenic cardiac disease, manifests with ST-segment changes in the right precordial leads, right bundle block pattern, and susceptibility to ventricular tachyarrhythmias and sudden death. The only established therapy for this disease is prevention of sudden death by implantation of a defibrillator. Herein we describe a case of a patient who presented with incessant ventricular tachycardia (VT) and syncope and who had a type 1 Brugada pattern on ECG. The patient was successfully treated with quinidine, after which the classically described type 2 and 3 patterns emerged.
摘要
Brugada 综合征是一种遗传性心律失常性心脏病，表现为右胸前导联 ST 段改变、右束支传导阻滞图形以及室性心动过速和猝死的易感性。这种疾病唯一确定的治疗方法是通过植入除颤器来预防猝死。在此，我们描述了一例患者，该患者表现为无休止的室性心动过速（VT）和晕厥，心电图表现为 1 型 Brugada 图形。该患者成功地用奎尼丁治疗后，出现了经典描述的 2 型和 3 型图形。
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