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颅内出血导致的Brugada综合征拟表型

Brugada Phenocopy Caused by Intracranial Hemorrhage.

作者信息

Branco Tiago, Barbosa Ana, Cunha Nelson, Gouveia João, Lopes João M

机构信息

Serviço de Medicina 2, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, PRT.

Departament de Cardiologia, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Centro Académico de Medicina de Lisboa, Centro Cardiovascular da Universidade de Lisboa, Faculdade de Medicina de Lisboa, Universidade de Lisboa, Lisboa, PRT.

出版信息

Cureus. 2023 Mar 2;15(3):e35687. doi: 10.7759/cureus.35687. eCollection 2023 Mar.

Abstract

Brugada syndrome (BrS) is a congenital channelopathy associated with an increased risk of malignant ventricular arrhythmias and sudden cardiac death in individuals without any structural cardiopathy. Brugada phenocopies (BrPs) are clinical entities that present electrocardiographic patterns similar to those of BrS that are elicited only under transitory pathophysiological conditions, with normalization of the ECG pattern after the resolution of those conditions. We present a rare case of BrP due to intracranial hemorrhage. We also present and discuss the diagnostic criteria for BrPs and their application to this case.

摘要

Brugada综合征(BrS)是一种先天性离子通道病,在无任何结构性心脏病的个体中,其发生恶性室性心律失常和心源性猝死的风险增加。Brugada综合征拟表型(BrP)是指临床病症呈现出与BrS相似的心电图模式,且仅在短暂的病理生理条件下诱发,这些条件解除后心电图模式恢复正常。我们报告了一例因颅内出血导致的罕见BrP病例。我们还介绍并讨论了BrP的诊断标准及其在该病例中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2886/10066709/c5b5331b4a93/cureus-0015-00000035687-i01.jpg

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