Gottschalk Byron H, Garcia-Niebla Javier, Anselm Daniel D, Glover Benedict, Baranchuk Adrian
Department of Cardiology, Kingston General Hospital, Queen's University, Kingston, Ontario, Canada.
Sanitary Services of the Salud de El Hierro Area, Valle del Golfo Health Center, Canary Island, Spain.
Ann Noninvasive Electrocardiol. 2016 Mar;21(2):210-3. doi: 10.1111/anec.12317. Epub 2015 Nov 2.
Brugada syndrome (BrS) is an inherited channelopathy that predisposes individuals to malignant arrhythmias and can lead to sudden cardiac death. The condition is characterized by two electrocardiography (ECG) patterns: the type-1 or "coved" ECG and the type-2 or "saddleback" ECG. Although the type-1 Brugada ECG pattern is diagnostic for the condition, the type-2 Brugada ECG pattern requires differential diagnosis from conditions that produce a similar morphology. In this article, we present a case that is suspicious but not diagnostic for BrS and discuss the application of ECG methodologies for increasing or decreasing suspicion for a diagnosis of BrS.
布加综合征（BrS）是一种遗传性离子通道病，使个体易患恶性心律失常，并可导致心源性猝死。该病具有两种心电图（ECG）模式：1型或“穹窿型”ECG和2型或“马鞍型”ECG。虽然1型布加综合征ECG模式可诊断该病，但2型布加综合征ECG模式需要与产生相似形态的疾病进行鉴别诊断。在本文中，我们介绍了一例疑似但不能确诊为布加综合征的病例，并讨论了ECG方法在增加或降低布加综合征诊断怀疑度方面的应用。
