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Brugada综合征和致心律失常性右室心肌病中的右束支传导阻滞及传导障碍

Right bundle branch block and conduction disturbances in Brugada syndrome and arrhythmogenic right ventricular cardiomyopathy.

作者信息

Calò Leonardo, Martino Annamaria, Goanta Emilia, Okumura Yasuo, de Ruvo Ermenegildo

机构信息

Cardiology Division, Policlinico Casilino, Via Casilina 1049, 00169, Rome, Italy.

Cardiology Department, Victor Babes University of Medicine and Pharmacy of Timisoara, Timișoara, Romania.

出版信息

J Interv Card Electrophysiol. 2018 Aug;52(3):307-313. doi: 10.1007/s10840-018-0386-3. Epub 2018 May 26.

Abstract

Right bundle branch block is relatively frequent in the general population and is generally considered benign in healthy individuals. However, it has been associated with increased cardiovascular risk and all-cause mortality in various cohort studies. Indeed, the presence of right bundle branch block in subjects affected by cardiomyopathies or channelopathies is not rare and may conceal underlying electrocardiographic changes, thus making the diagnosis of such conditions more challenging. The purpose of this review is to analyze the prevalence and clinical significance of right bundle branch block in subjects affected by Brugada syndrome and arrhythmogenic right ventricular cardiomyopathy.

摘要

右束支传导阻滞在普通人群中较为常见,在健康个体中通常被认为是良性的。然而,在各种队列研究中,它与心血管风险增加和全因死亡率相关。事实上,在患有心肌病或离子通道病的患者中,右束支传导阻滞并不罕见,并且可能掩盖潜在的心电图变化,从而使此类疾病的诊断更具挑战性。本综述的目的是分析右束支传导阻滞在布加综合征和致心律失常性右室心肌病患者中的患病率及临床意义。

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