一名患有自发性心包积气和心包炎的患者出现Brugada综合征拟表型或先天性Brugada综合征。
Brugada phenocopy or congenital Brugada syndrome in a patient with spontaneous pneumopericardium and pericarditis.
作者信息
Khmao Pichmanil, Long Vannak, Ku No, Lim Sivutha
机构信息
Department of Cardiology and Geriatric Medicine Khmer-Soviet Friendship Hospital Phnom Penh Cambodia.
Medical Intensive Care Unit Khmer-Soviet Friendship Hospital Phnom Penh Cambodia.
出版信息
J Arrhythm. 2020 Dec 23;37(1):246-248. doi: 10.1002/joa3.12488. eCollection 2021 Feb.
Brugada syndrome (BrS) is characterized by coved ST segment elevation in the right precordial lead (V1-V3). Previous reports have described type-1 or type-2 Brugada ECG pattern as a Brugada phenocopy (BrP) in various clinical condition and once the etiology is resolved, the BrP ECG pattern normalizes. We describe a case report of type-1 Brugada ECG pattern in a patient with acquired immunodeficiency syndrome (AIDS) and active pulmonary tuberculosis, which developed to spontaneous pneumopericardium and pericarditis. The coexistence of type-1 Brugada ECG pattern with spontaneous pneumopericardium and pericarditis is an extremely rare pathological condition that has not been previously described.
Brugada综合征（BrS）的特征是右胸前导联（V1-V3）出现穹窿型ST段抬高。既往报道称，在各种临床情况下，1型或2型Brugada心电图模式可表现为Brugada拟表型（BrP），一旦病因消除，BrP心电图模式可恢复正常。我们报告了1例获得性免疫缺陷综合征（AIDS）合并活动性肺结核患者出现1型Brugada心电图模式的病例，该患者随后发展为自发性气胸心包和心包炎。1型Brugada心电图模式与自发性气胸心包和心包炎并存是一种极为罕见的病理状况，此前尚未见报道。
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