Lu Li-Hong, Song Yu-Qing, Wu Qi-Ming, Wang Zhao, Chen Yong-Fu, Dong Qian, Han Xiao-Tao
Department of Cardiology, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, People's Republic of China.
Int J Gen Med. 2021 Sep 7;14:5251-5254. doi: 10.2147/IJGM.S322019. eCollection 2021.
To improve our knowledge of cardiac manifestations caused by brucellosis through analyzing abnormal electrocardiograms of patients infected with brucella.
A total of 108 cases were enrolled, and their electrocardiograms were analyzed and summarized retrospectively.
Among 108 cases, 77 (71.3%) had a normal electrocardiogram, and 31 (28.7%) had an abnormal electrocardiogram. There were 13 cases with nodal tachycardia (12%), 9 cases with sinus bradycardia (8%), 7 cases with sinus arrhythmia (6%), 8 cases with left ventricular high voltage (7%), 13 cases with abnormal ST segment and T wave (12%), 2 cases with abnormal Q wave (1.85%), 3 cases with complete right bundle branch block (2.78%), 3 cases with ventricular premature beat (2.78%), 1 case with left anterior fascicular block (0.9%), 1 case with first degree a-v block (0.9%), 1 case with QT internal prolongation (0.9%), 1 case with poor R wave progression (0.9%), and 1 case with short PR interval (0.9%).
The cardiac manifestations of brucellosis were rare, but the mortality was high. Patients with abnormal electrocardiogram should have improved echocardiography in time. Early detection of the abnormal electrocardiogram could give a hint of cardiac damage to avoid the serious consequences.
通过分析布鲁氏菌感染患者的异常心电图，提高我们对布鲁氏菌病所致心脏表现的认识。
共纳入108例患者，对其心电图进行回顾性分析和总结。
108例患者中，77例（71.3%）心电图正常，31例（28.7%）心电图异常。有13例房性心动过速（12%）、9例窦性心动过缓（8%）、7例窦性心律不齐（6%）、8例左心室高电压（7%）、13例ST段和T波异常（12%）、2例Q波异常（1.85%）、3例完全性右束支传导阻滞（2.78%）、3例室性早搏（2.78%）、1例左前分支阻滞（0.9%）、1例一度房室传导阻滞（0.9%）、1例QT间期延长（0.9%）、1例R波递增不良（0.9%）、1例PR间期缩短（0.9%）。
布鲁氏菌病的心脏表现少见，但死亡率高。心电图异常的患者应及时完善超声心动图检查。早期发现异常心电图可提示心脏损害，避免严重后果。
