Asenjo R, Madariaga R, Morris R, Montagna R, Núñez J, Ortiz M, Morales P
Centro Nacional de Arritmias, Hospital Clínico, Universidad de Chile, Santiago, Chile.
Rev Med Chil. 1998 Jul;126(7):814-21.
We report a 47 years old male who was recuperated from a sudden death, and in whom the cardiological assessment showed a right bundle branch block and a fluctuating ST segment elevation V1 to V3. During the electrophysiological study, a polymorphic tachycardia and a ventricular fibrillation were induced. Procainamide administration enhanced ST segment alterations in right precordial leads, and isoproterenol normalized the EKG. All these disturbances are similar to the condition described by Brugada brothers. The patient was treated with an internal implantable defibrillator, without the use of antiarrhythmic drugs and is well after four months of follow up.
我们报告了一名47岁男性，他从心脏骤停中复苏过来，心脏评估显示存在右束支传导阻滞以及V1至V3导联ST段抬高波动。在电生理研究期间，诱发了多形性心动过速和心室颤动。静脉注射普鲁卡因酰胺可加重右心前区导联的ST段改变，而异丙肾上腺素可使心电图恢复正常。所有这些异常与Brugada兄弟所描述的情况相似。该患者接受了植入式心脏除颤器治疗，未使用抗心律失常药物，随访四个月后情况良好。
