Tomcsányi Kristóf, Tomcsányi János
St. John of God Hospital Cardiology Department, Budapest, Hungary.
St. John of God Hospital Cardiology Department, Budapest, Hungary.
J Electrocardiol. 2017 May-Jun;50(3):375-377. doi: 10.1016/j.jelectrocard.2016.12.006. Epub 2016 Dec 29.
The Brugada sign may appear as an indication of severe hyperkalemia. This phenomena has recently been called as the "Brugada phenocopy". Hyperthermia and hypothermia may lead to rhabdomyolysis. Rhabdomyolysis is a syndrome characterized by muscle necrosis and the release of intracellular muscle constituents into the circulation. We present a case where rhabdomyolysis-related delayed hyperkalemia showed Brugada sign on the ECG mimicking ventricular tachycardia.
Brugada波可能表现为严重高钾血症的一种征象。这种现象最近被称为“Brugada波拟态”。高热和低温可能导致横纹肌溶解。横纹肌溶解是一种以肌肉坏死以及细胞内肌肉成分释放进入循环系统为特征的综合征。我们报告一例与横纹肌溶解相关的迟发性高钾血症患者，其心电图上出现Brugada波，酷似室性心动过速。
