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老年男性 Brugada 综合征合并室性心动过速

Ventricular Tachycardia in an Elderly Male With Brugada Syndrome.

机构信息

Riverside University Health System Medical Center, Moreno Valley, CA, USA.

Loma Linda University Medical Center, CA, USA.

出版信息

J Investig Med High Impact Case Rep. 2023 Jan-Dec;11:23247096231201005. doi: 10.1177/23247096231201005.

DOI:10.1177/23247096231201005
PMID:37737574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10517598/
Abstract

We present a case of Brugada syndrome in a 74-year-old patient who presented with urine retention and incidentally found to have non-sustained ventricular tachycardia (NSVT) on electrocardiogram (ECG) and telemetry. To reveal characteristic type 1 Brugada pattern, right-pericardial lead was placed in the third right intercostal space. No antiarrhythmics were started, a loop recorder was implanted, and on follow-up episodes of self-terminating sustained ventricular tachycardia (VT) were noted. The patient was started on quinidine with resolution of VT.

摘要

我们报告 1 例 Brugada 综合征患者,该患者 74 岁,因尿潴留就诊,心电图(ECG)和遥测发现非持续室性心动过速(NSVT)。为了揭示特征性 1 型 Brugada 图形,在第三肋间右侧心前区放置了右心导联。未开始抗心律失常治疗,植入了植入式循环记录仪,随访中发现自行终止的持续性室性心动过速(VT)发作。开始使用奎尼丁治疗,VT 得到缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3764/10517598/b6e9e57debfe/10.1177_23247096231201005-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3764/10517598/9924193e4e85/10.1177_23247096231201005-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3764/10517598/ce93f0d52658/10.1177_23247096231201005-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3764/10517598/6e04e819117c/10.1177_23247096231201005-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3764/10517598/b6e9e57debfe/10.1177_23247096231201005-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3764/10517598/9924193e4e85/10.1177_23247096231201005-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3764/10517598/ce93f0d52658/10.1177_23247096231201005-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3764/10517598/6e04e819117c/10.1177_23247096231201005-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3764/10517598/b6e9e57debfe/10.1177_23247096231201005-fig4.jpg

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J Arrhythm. 2025 Mar 24;41(2):e70047. doi: 10.1002/joa3.70047. eCollection 2025 Apr.

本文引用的文献

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Brugada Syndrome: Clinical Features, Risk Stratification, and Management.布加综合征:临床特征、危险分层及管理
Heart Views. 2020 Apr-Jun;21(2):88-96. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_44_20. Epub 2020 Jun 29.
2
Mechanisms of Arrhythmias in the Brugada Syndrome. Brugada 综合征中的心律失常机制。
Int J Mol Sci. 2020 Sep 25;21(19):7051. doi: 10.3390/ijms21197051.
3
Combined Right Ventricular Outflow Tract Epicardial and Endocardial Late Potential Ablation for Treatment of Brugada Storm: A Case Report and Review of the Literature.
联合右心室流出道心外膜和心内膜晚期电位消融治疗Brugada综合征风暴:一例报告及文献复习
Cardiol Ther. 2016 Dec;5(2):229-243. doi: 10.1007/s40119-016-0072-4. Epub 2016 Sep 19.
4
Efficacy of quinidine in high-risk patients with Brugada syndrome.奎尼丁在Brugada综合征高危患者中的疗效。
Circulation. 2004 Sep 28;110(13):1731-7. doi: 10.1161/01.CIR.0000143159.30585.90. Epub 2004 Sep 20.
5
Determinants of sudden cardiac death in individuals with the electrocardiographic pattern of Brugada syndrome and no previous cardiac arrest.心电图表现为Brugada综合征且既往无心脏骤停患者心脏性猝死的决定因素
Circulation. 2003 Dec 23;108(25):3092-6. doi: 10.1161/01.CIR.0000104568.13957.4F. Epub 2003 Nov 17.
6
Natural history of Brugada syndrome: insights for risk stratification and management.Brugada综合征的自然病史:对风险分层和管理的见解
Circulation. 2002 Mar 19;105(11):1342-7. doi: 10.1161/hc1102.105288.