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[右束支传导阻滞合并持续性ST段抬高患者的猝死]

[Sudden death in patient with right bundle branch block and persistent ST segment elevation].

作者信息

Villacorta H, Faig Torres R A, Ribeiro Simões de Castro I, Lambert H, de Araujo Gonzales Alonso R

机构信息

Hospital Central do Exército, Rio de Janeiro.

出版信息

Arq Bras Cardiol. 1996 Apr;66(4):229-31.

PMID:8935690
Abstract

A 43 year old man was admitted to the hospital due to a syncopal episode and presented on the electrocardiogram a pattern of right bundle branch block (RBBB) associated with ST segment elevation from V1 to V4 and normal QT interval. Acute myocardial infarction was suspected but was not confirmed by laboratorial findings. Coronary arteriography was performed and revealed no obstructive disease. No sign suggesting structural heart disease was found. He remained asymptomatic but persisted with RBBB and ST segment elevation. He was discharged from the hospital and was referred to investigation for cardiac arrhythmia as an outpatient, but died suddenly two days later.

摘要

一名43岁男性因晕厥发作入院,心电图显示右束支传导阻滞(RBBB)模式,伴有V1至V4导联ST段抬高,QT间期正常。怀疑为急性心肌梗死,但实验室检查结果未证实。进行了冠状动脉造影,未发现阻塞性疾病。未发现提示结构性心脏病的迹象。他仍无症状,但持续存在RBBB和ST段抬高。他出院后作为门诊病人被转诊进行心律失常检查,但两天后突然死亡。

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