发热状态下酷似急性冠脉综合征的Brugada波型
Brugada pattern mimicking acute coronary syndrome in a febrile state.
作者信息
Pakala Aneesh, Dasari Tarun W, Beckman Karen J
机构信息
Department of Internal Medicine, University of Oklahoma Health Sciences Center, 920 Stanton L. Young Blvd., WP 1130, Oklahoma City, Oklahoma 73104, USA.
出版信息
J Okla State Med Assoc. 2012 Jul;105(7):275-8.
The Brugada type pattern is characterized by a coved or saddleback shaped ST-segment elevation in the right precordial leads (V1-V3) on a surface 12 lead electrocardiogram (ECG). This pattern can be seen spontaneously, induced by sodium channel blocking drugs or rarely by hyperthermia. The mechanism is secondary to an alteration in the sodium channels induced by a febrile state. Such ECG's could easily be mistaken for acute ST segment elevation myocardial infarction and thus pose a unique clinical challenge to emergency room physicians. We report such a case of fever induced Brugada pattern and discuss the underlying mechanisms.
Brugada型心电图表现为12导联体表心电图（ECG）上右胸前导联（V1-V3）出现穹窿形或马鞍形ST段抬高。这种心电图表现可自发出现，可由钠通道阻滞剂诱发，极少情况下由高热诱发。其机制是发热状态引起钠通道改变所致。此类心电图很容易被误诊为急性ST段抬高型心肌梗死，因此给急诊医生带来了独特的临床挑战。我们报告了1例发热诱发的Brugada型心电图病例，并讨论其潜在机制。
Zotero 插件