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车祸后出现的一种不寻常的心电图改变。

An unusual ECG change after a car crash.

机构信息

Department of Cardiothoracic Surgery, Wuhan Asia Heart Hospital Affiliated to Wuhan University of Science and Technology, Hubei, China.

Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Tianjin, China.

出版信息

Ann Noninvasive Electrocardiol. 2021 Jul;26(4):e12835. doi: 10.1111/anec.12835. Epub 2021 Feb 19.

DOI:10.1111/anec.12835
PMID:33608918
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8293604/
Abstract

A 34-year-old male patient was preparing for splenic artery embolization because of a car crash. Personal or family histories of cardiovascular diseases, sudden cardiac death, or Brugada syndrome were denied. Type 1 Brugada pattern was observed in the preoperative electrocardiogram and gradually resolved within a week. Chest blunt trauma may contribute to the transient ECG changes, and some particular considerations should be taken in this patient.

摘要

一位 34 岁男性患者因车祸准备进行脾动脉栓塞术。否认有心血管疾病、心源性猝死或 Brugada 综合征的个人或家族史。术前心电图显示 1 型 Brugada 图形，一周内逐渐缓解。胸部钝挫伤可能导致心电图短暂变化，对此患者应考虑一些特殊情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a1/8293604/93de64b8f348/ANEC-26-e12835-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a1/8293604/0fd50240a793/ANEC-26-e12835-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a1/8293604/90bb97bc0346/ANEC-26-e12835-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a1/8293604/93de64b8f348/ANEC-26-e12835-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a1/8293604/0fd50240a793/ANEC-26-e12835-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a1/8293604/90bb97bc0346/ANEC-26-e12835-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a1/8293604/93de64b8f348/ANEC-26-e12835-g002.jpg

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本文引用的文献

1
Brugada phenocopy: Mechanisms, diagnosis, and implications.Brugada综合征拟表型：机制、诊断及意义
J Electrocardiol. 2019 Jul-Aug;55:45-50. doi: 10.1016/j.jelectrocard.2019.04.017. Epub 2019 Apr 30.
2
General Anesthesia Attenuates Brugada Syndrome Phenotype Expression: Clinical Implications From a Prospective Clinical Trial.全身麻醉可减轻 Brugada 综合征表型表达：前瞻性临床试验的临床意义。
JACC Clin Electrophysiol. 2018 Apr;4(4):518-530. doi: 10.1016/j.jacep.2017.11.013. Epub 2018 Feb 13.
3
Multifactorial Brugada Phenocopy.
多因素Brugada综合征拟表型
JAMA Intern Med. 2018 Jun 1;178(6):872-873. doi: 10.1001/jamainternmed.2018.2026.
4
Brugada phenocopy caused by a compressive mediastinal tumor.由纵隔压迫性肿瘤引起的Brugada综合征拟表型。
Ann Noninvasive Electrocardiol. 2018 May;23(3):e12509. doi: 10.1111/anec.12509. Epub 2017 Oct 15.
5
Brugada phenocopy in a patient with acute pulmonary embolism presenting with recurrent syncope.一名急性肺栓塞患者出现复发性晕厥，表现为Brugada波拟表型。
Oxf Med Case Reports. 2017 May 30;2017(5):omx014. doi: 10.1093/omcr/omx014. eCollection 2017 May.
6
Ischemic Brugada phenocopy during ablation of ventricular tachycardia.室性心动过速消融期间的缺血性Brugada综合征拟表型
J Arrhythm. 2016 Apr;32(2):156. doi: 10.1016/j.joa.2015.11.002. Epub 2016 Feb 9.
7
Expert cardiologists cannot distinguish between Brugada phenocopy and Brugada syndrome electrocardiogram patterns.专业心脏病专家无法区分Brugada综合征拟表型和Brugada综合征的心电图模式。
Europace. 2016 Jul;18(7):1095-100. doi: 10.1093/europace/euv278. Epub 2015 Oct 25.
8
Brugada phenocopy: new terminology and proposed classification.Brugada综合征拟表型：新术语及拟分类
Ann Noninvasive Electrocardiol. 2012 Oct;17(4):299-314. doi: 10.1111/j.1542-474X.2012.00525.x. Epub 2012 Aug 13.
9
Commotio cordis: ventricular fibrillation triggered by chest impact-induced abnormalities in repolarization.心脏震荡：胸部撞击引起复极化异常触发心室颤动。
Circ Arrhythm Electrophysiol. 2012 Apr;5(2):425-32. doi: 10.1161/CIRCEP.111.962712.