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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.

DOI:10.5152/TJAR.2016.22230
PMID:27366566
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4894205/
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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Anaesthetic Management of a Patient with Brugada Syndrome.一名布加综合征患者的麻醉管理
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Familial cardiomyopathy underlies syndrome of right bundle branch block, ST segment elevation and sudden death.家族性心肌病是右束支传导阻滞、ST段抬高和猝死综合征的基础。
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Anesthesiological management of Brugada syndrome patients: A systematic review.布加综合征患者的麻醉管理:一项系统评价
Saudi J Anaesth. 2023 Jul-Sep;17(3):394-400. doi: 10.4103/sja.sja_205_23. Epub 2023 Jun 22.

本文引用的文献

1
Rocuronium and sugammadex used effectively for electroconvulsive therapy in a patient with Brugada syndrome.罗库溴铵和 sugammadex 联合用于 Brugada 综合征患者电抽搐治疗有效。
J ECT. 2012 Jun;28(2):e21-2. doi: 10.1097/YCT.0b013e31824b74f5.
2
Anesthetic management of patients with Brugada syndrome: a case series and literature review. Brugada 综合征患者的麻醉管理:病例系列和文献复习。
Can J Anaesth. 2011 Sep;58(9):824-36. doi: 10.1007/s12630-011-9546-y. Epub 2011 Jun 23.
3
Drugs and Brugada syndrome patients: review of the literature, recommendations, and an up-to-date website (www.brugadadrugs.org).药物与 Brugada 综合征患者:文献回顾、建议和最新网站(www.brugadadrugs.org)。
Heart Rhythm. 2009 Sep;6(9):1335-41. doi: 10.1016/j.hrthm.2009.07.002. Epub 2009 Jul 8.
4
The genetic basis of Brugada syndrome: a mutation update.布加综合征的遗传基础:突变更新
Hum Mutat. 2009 Sep;30(9):1256-66. doi: 10.1002/humu.21066.
5
Anaesthetic management in patients with high-risk Brugada syndrome.高危Brugada综合征患者的麻醉管理
Br J Anaesth. 2006 Jul;97(1):118-9. doi: 10.1093/bja/ael127.
6
Brugada electrocardiographic pattern in a postoperative patient.一名术后患者的Brugada心电图模式。
Crit Care Med. 2005 Jul;33(7):1634-7. doi: 10.1097/01.ccm.0000169881.09304.a4.
7
General anesthesia for patients with Brugada syndrome. A report of six cases.布加综合征患者的全身麻醉。6例报告。
Can J Anaesth. 2005 Apr;52(4):409-12. doi: 10.1007/BF03016285.
8
Brugada-type electrocardiographic pattern induced by epidural bupivacaine.硬膜外布比卡因诱发的Brugada型心电图模式
Anesth Analg. 2003 Jul;97(1):264-7, table of contents. doi: 10.1213/01.ane.0000067410.32384.3a.
9
General anaesthesia in a patient with Brugada syndrome.布加综合征患者的全身麻醉
Br J Anaesth. 2002 Nov;89(5):788-91.
10
Clinical diagnosis and risk stratification in patients with Brugada syndrome.
J Am Coll Cardiol. 2001 May;37(6):1635-8. doi: 10.1016/s0735-1097(01)01221-9.