Ameen Muhammad, Akbar Ghulam, Abbas Naeem, Mirrani Ghazi
Bronx-Lebanon Hospital Center, Department of Medicine, 1650 Selwyn Avenue, No. 10C, Bronx, NY 10457, USA.
Lehigh Valley Hospital, Department of Cardiovascular Medicine, 1627 W. Chew St., Allentown, PA 18104, USA.
Case Rep Cardiol. 2017;2017:9464728. doi: 10.1155/2017/9464728. Epub 2017 Feb 23.
Brugada syndrome (BrS) is an inherited disorder of cardiac ion channels characterized by peculiar ECG findings predisposing individuals to ventricular arrhythmias, syncope, and sudden cardiac death (SCD). Various electrolyte disturbances and ion channels blocking drugs could also provoke BrS ECG findings without genetic BrS. Clinical differentiation and recognition are essential for guiding the legitimate action. Hyperkalemia is well known to cause a wide variety of ECG manifestations. Severe hyperkalemia can even cause life threatening ventricular arrhythmias and cardiac conduction abnormalities. Most common ECG findings include peaked tall T waves with short PR interval and wide QRS complex. Since it is very commonly encountered disorder, physicians need to be aware of even its rare ECG manifestations, which include ST segment elevation and Brugada pattern ECG (BrP). We are adding a case to the limited literature about hyperkalemia induced reversible Brugada pattern ECG changes.
布加综合征（BrS）是一种遗传性心脏离子通道疾病，其特征是具有特殊的心电图表现，使个体易患室性心律失常、晕厥和心源性猝死（SCD）。各种电解质紊乱和离子通道阻滞剂也可在无遗传性布加综合征的情况下诱发布加综合征心电图表现。临床鉴别和识别对于指导合理治疗至关重要。众所周知，高钾血症可导致多种心电图表现。严重高钾血症甚至可导致危及生命的室性心律失常和心脏传导异常。最常见的心电图表现包括高耸的T波、PR间期缩短和QRS波群增宽。由于这是一种非常常见的疾病，医生甚至需要了解其罕见的心电图表现，其中包括ST段抬高和布加综合征样心电图（BrP）。我们正在为关于高钾血症诱发可逆性布加综合征样心电图改变的有限文献增添一个病例。
