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一名布加综合征患者的麻醉管理

Anaesthetic Management of a Patient with Brugada Syndrome.

作者信息

Şahinkaya Halide Hande, Yaşar Erdem, Tekgül Zeki Tuncel, Horsanalı Burcu Özalp, Özeroğlu Ertaç

机构信息

Clinic of Anaesthesiology, Bozyaka Training and Research Hospital, İzmir, Turkey.

Department of Algology, Hacettepe University School of Medicine, Ankara, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2016 Apr;44(2):96-8. doi: 10.5152/TJAR.2016.22230. Epub 2016 Apr 1.

Abstract

Brugada Syndrome is a condition with an undetermined aetiology and a tendency for malignant arrhythmias, an electrocardiographic pattern of a right bundle branch block with persistent ST segment elevation in the right precordial leads (V1-V3) and no association with structural heart disease. We aimed to discuss the anaesthetic management of an asymptomatic 35-year-old patient with Brugada syndrome who had been diagnosed during the pre-anaesthetic assessment because of the family history of the early sudden cardiac death of his mother. As a result, we believe that detailed patient history and careful examination of laboratory tests and electrocardiography are crucial for early diagnosis of some diseases and for successful anaesthetic management.

摘要

布加综合征是一种病因不明且有恶性心律失常倾向的疾病,其心电图表现为右束支传导阻滞伴右胸前导联(V1-V3)ST段持续抬高,且与结构性心脏病无关。我们旨在讨论一名35岁无症状布加综合征患者的麻醉管理,该患者在麻醉前评估期间因母亲有早发性心源性猝死家族史而被诊断出患有此病。因此,我们认为详细的患者病史以及对实验室检查和心电图的仔细检查对于某些疾病的早期诊断和成功的麻醉管理至关重要。

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