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伪装成ST段抬高型心肌梗死的Brugada波ST段抬高

Brugada ST elevation masquerading as ST elevation myocardial infarction.

作者信息

Nelson Melissa R, Assar Manish D, Htaik Oo, Schussler Jeffrey M

机构信息

Department of Internal Medicine, Baylor University Medical CenterDallasTexas.

Division of Cardiology, The Baylor Scott & White Heart and Vascular HospitalDallasTexas.

出版信息

Proc (Bayl Univ Med Cent). 2018 Nov 2;32(1):107-109. doi: 10.1080/08998280.2018.1503477. eCollection 2019 Jan.

DOI:10.1080/08998280.2018.1503477
PMID:30956600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6442802/
Abstract

Brugada syndrome (BS) is a genetic cardiac syndrome first described in 1992 that is characterized by distinct abnormalities noted in leads V1 and V2 on electrocardiogram. It often leads to syncope or even sudden death in affected patients due to its propensity for ventricular tachycardia and fibrillation. The characteristic ST elevation seen in these patients can be confused with ischemic ST elevation. We present a case where a febrile illness unmasked BS and the ST changes seen were believed to be ischemic.

摘要

Brugada综合征(BS)是一种遗传性心脏综合征,于1992年首次被描述,其特征是心电图V1和V2导联出现明显异常。由于其易引发室性心动过速和颤动,该病常导致受影响患者晕厥甚至猝死。这些患者中出现的特征性ST段抬高可能会与缺血性ST段抬高相混淆。我们报告一例因发热性疾病而暴露的Brugada综合征病例,所观察到的ST段变化被认为是缺血性的。

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本文引用的文献

1
Fever-Induced Brugada Syndrome Is More Common Than Previously Suspected: A Cross-Sectional Study from an Endemic Area.发热诱发的 Brugada 综合征比之前怀疑的更为常见:来自一个流行地区的横断面研究。
Ann Noninvasive Electrocardiol. 2016 Mar;21(2):136-41. doi: 10.1111/anec.12288. Epub 2015 Jul 14.
2
ST-segment elevation: Differential diagnosis, caveats.ST段抬高:鉴别诊断及注意事项
Cleve Clin J Med. 2015 Jun;82(6):373-84. doi: 10.3949/ccjm.82a.14026.
3
Brugada syndrome: clinical and genetic findings.Brugada 综合征:临床和遗传学发现。
Genet Med. 2016 Jan;18(1):3-12. doi: 10.1038/gim.2015.35. Epub 2015 Apr 23.
4
Fever-induced Brugada pattern: how common is it and what does it mean?发热诱发 Brugada 波型:有多常见,意味着什么?
Heart Rhythm. 2013 Sep;10(9):1375-82. doi: 10.1016/j.hrthm.2013.07.030. Epub 2013 Jul 19.
5
Conditions mimicking acute ST-segment elevation myocardial infarction in patients referred for primary percutaneous coronary intervention.疑似急性 ST 段抬高型心肌梗死患者行直接经皮冠状动脉介入治疗。
Neth Heart J. 2008 Oct;16(10):325-31. doi: 10.1007/BF03086173.
6
ST-segment elevation in conditions other than acute myocardial infarction.急性心肌梗死以外情况下的ST段抬高。
N Engl J Med. 2003 Nov 27;349(22):2128-35. doi: 10.1056/NEJMra022580.
7
Proposed diagnostic criteria for the Brugada syndrome.Brugada综合征的拟诊标准。
Eur Heart J. 2002 Nov;23(21):1648-54. doi: 10.1053/euhj.2002.3382.