Khan Ahmad R, Waqar Salma, Arif Amina, Ul Haq Furqan, Shah M Isac
Internal Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Cureus. 2022 Jul 18;14(7):e26998. doi: 10.7759/cureus.26998. eCollection 2022 Jul.
Brugada syndrome (BrS) is an autosomal-dominant condition mainly caused by defects in sodium channels causing ST-segment elevation in electrocardiograms (ECGs) in the V1 and V2 precordial leads, with ventricular tachyarrhythmias due to premature ventricular contractions, which increases the risk of sudden cardiac death. BrS usually presents in adulthood, with an average age of presentation of 41 years. In this article, we describe a case of BrS diagnosed in a 36-year-old male having sudden cardiac arrest with no comorbidities such as hypertension, diabetes mellitus, smoking, or any valvular disease history. We then explain the ECG-based diagnosis, signs and symptoms, presentation at the emergency department, and treatment options.
Brugada综合征（BrS）是一种常染色体显性疾病，主要由钠通道缺陷引起，导致心电图（ECG）胸前导联V1和V2出现ST段抬高，并伴有室性早搏引起的室性快速心律失常，增加了心脏性猝死的风险。BrS通常在成年期发病，平均发病年龄为41岁。在本文中，我们描述了一例36岁男性被诊断为BrS的病例，该患者发生心脏骤停，无高血压、糖尿病、吸烟或任何瓣膜病史等合并症。然后我们解释基于心电图的诊断、体征和症状、在急诊科的表现以及治疗选择。
