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中暑引发的适当植入式心脏复律除颤器治疗。

Appropriate implantable cardioverter-defibrillator therapy triggered by heat stroke.

作者信息

Paz Mamani Carlos Fernando, Arce Carreón Mauricio, Femenia Francisco, Brugada Josep

机构信息

Unidad de arritmias y marcapasos. Hospital Privado de la Villa y Hospital Central Ramón Carrillo, San Luis, Argentina.

Instituto Nacional de Tórax, La Paz, Bolivia.

出版信息

Indian Pacing Electrophysiol J. 2025 Jan-Feb;25(1):39-42. doi: 10.1016/j.ipej.2024.12.001. Epub 2024 Dec 6.

DOI:10.1016/j.ipej.2024.12.001
PMID:39645165
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11962256/
Abstract

We present a case of a 20 years old male with a history of syncope and Brugada type 1 pattern confirmed by a pharmacological test with flecainide, inducible ventricular tachycardia on an electrophysiological study, and had undergone placement of implantable cardioverter-defibrillator (ICD). In 12 months of follow-up, the patient was asymptomatic; on a day of extreme heat (46°C), he had a presyncope episode followed by an ICD shock. The patient was brought to the emergency room with heat stroke symptoms. ECG showed a Brugada type 1 pattern, and ICD interrogation showed ventricular fibrillation followed by successful conversion with 36-joules shock. Physical methods were used to lower body temperature in addition to intravenous fluids infusion. The patient was stabilized and discharged after 48 hrs.

摘要

我们报告一例20岁男性病例，该患者有晕厥病史，通过氟卡尼药物试验确诊为1型Brugada综合征，电生理研究诱发出室性心动过速，并已植入植入式心脏复律除颤器（ICD）。在12个月的随访中，患者无症状；在极端炎热的一天（46°C），他出现了先兆晕厥发作，随后ICD放电。患者因中暑症状被送往急诊室。心电图显示为1型Brugada综合征模式，ICD问询显示为心室颤动，随后36焦耳电击成功转复。除静脉输液外，还采用物理方法降低体温。患者在48小时后病情稳定并出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d15/11962256/bd5c2d44a78b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d15/11962256/a5c7ede95343/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d15/11962256/bd5c2d44a78b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d15/11962256/a5c7ede95343/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d15/11962256/bd5c2d44a78b/gr2.jpg

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Genetic and Molecular Mechanisms in Brugada Syndrome.Brugada 综合征的遗传和分子机制。
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Heatstroke.中暑
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Genetics of Brugada syndrome.Brugada综合征的遗传学
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