老年男性 Brugada 综合征合并室性心动过速

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

Loma Linda University Medical Center, CA, USA.

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

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.

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。