两名新冠肺炎患者出现发热诱导的类 Brugada 心电图模式。
Two patients with COVID-19 and a fever-induced Brugada-like electrocardiographic pattern.
作者信息
van de Poll S W E, van der Werf C
机构信息
Department of Cardiology, Franciscus Gasthuis and Vlietland Hospital, Rotterdam, The Netherlands.
Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
出版信息
Neth Heart J. 2020 Jul;28(7-8):431-436. doi: 10.1007/s12471-020-01459-1.
Febrile states may unmask certain Brugada syndrome patients and precipitate ventricular arrhythmias. Here we describe two patients with COVID-19 who developed a fever-induced type 1 Brugada electrocardiographic pattern. Both patients did not show any ventricular arrhythmias during admission. These and previously published cases suggest that the threshold to run an ECG should be low in febrile patients with suspected COVID-19, because these patients are potentially at risk for developing proarrhythmic complications.
发热状态可能会使某些 Brugada 综合征患者症状显现，并诱发室性心律失常。在此，我们描述两名新冠肺炎患者，他们出现了发热诱发的 1 型 Brugada 心电图模式。两名患者在入院期间均未出现任何室性心律失常。这些病例以及之前发表的病例表明，对于疑似新冠肺炎的发热患者，进行心电图检查的阈值应该较低，因为这些患者有发生促心律失常并发症的潜在风险。
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