Miyoshi Miho, Kondo Hidekazu, Shinohara Tetsuji, Yufu Kunio, Nakagawa Mikiko, Takahashi Naohiko
Department of Cardiology and Clinical Examination, Oita University Faculty of Medicine, Japan.
Intern Med. 2019 Feb 1;58(3):401-404. doi: 10.2169/internalmedicine.1468-18. Epub 2018 Aug 24.
We herein report a case of a 53-year-old man who survived cardiac arrest due to ventricular fibrillation (VF). When admitted to the hospital, his 12-lead electrocardiogram did not show Brugada-like ST elevation, early repolarization or delta-wave, in any leads. During the treatment of hypothermia, the manifestation of delta-wave was documented, which disappeared after the cessation of this treatment. A cardiac evaluation showed no structural heart disease, and electrophysiology studies did not demonstrate conduction via accessary pathway. Although the etiology of VF could not be determined, the most probable diagnosis was idiopathic VF. The patient was fitted with an implantable cardioverter-defibrillator.
我们在此报告一例53岁男性因心室颤动（VF）导致心脏骤停后存活的病例。入院时，他的12导联心电图在任何导联均未显示出类似Brugada综合征的ST段抬高、早期复极或δ波。在低温治疗期间，记录到了δ波的表现，该表现于治疗停止后消失。心脏评估显示无结构性心脏病，电生理研究未证实存在经附加旁路的传导。尽管VF的病因无法确定，但最可能的诊断为特发性VF。该患者植入了植入式心脏复律除颤器。
