摘要
目的了解Brugada波的临床意义。方法回顾分析住院的5例Brugada波12导心电图特征和临床资料。结果5例心电图均有明显变化,右胸导联类似右束支阻滞(RBBB)图形与ST段抬高程度时轻时重。1例冠脉造影正常,1例双支病变,2例被误诊为前间壁心肌梗死。1例Brugada波存活33年,最后死于呼吸衰竭。结论单纯有Brugada波者不一定都发生恶性室性心律失常。
出处
《实用心电学杂志》
2005年第5期336-336,共1页
Journal of Practical Electrocardiology
参考文献2
-
1[1]Brugada P. Brugada J. Right branch bundle block, Persistent ST segment elevation and suloden cardiac death: a distinct clinical and electro cardiogrephic syndrome. J Am Coll Cardiol 1992, 20(7) : 1 391
-
2赵智深.Brugada综合征电生理和基因研究[J].中国心脏起搏与心电生理杂志,2001,15(2):124-125. 被引量：2
二级参考文献12
-
1[1]Kannel WB,Cupples A,Dagostino RB.Sudden death risk in overt coronary heart disease:the Framingham study[J].Am Heart J,1987,113:779
-
2[2]Willich S,Levy D,Rocco MB,et al.Circadian variation in the incidence of sudden cardiac death in the Framingham heart study population[J].Am J Cardiol,1987,60:801
-
3[3]Brugada P,Brugada J.Right bundle branch block persistent ST segment elevation and sudden cardiac death:a distinct clinical and electrocardiographic syndrome.A multi-center report[J].J Am Coll Cardiol,1992,20:1391
-
4[4]Wang Q,Li Z,Shen I,et al.Genomic organization of human SCN5A gene encoding the cardiac sodium channel[J].Genomics,1996,34:9
-
5[5]Chen Q,Kirsch GE,Zhang D,et al.Genetic basis and molecular mechanism for idiopathic ventricular fibrillation[J].Nature,1998,392:293
-
6[6]Makita N,Shirai N,Wang DW,et al.Cardiac Na+ channel dysfunction in Brugada syndrome aggravated by β-subunit[J].Circulation,2000,101:54
-
7[7]Dumaine N,Tobin JA,Brugada P,et al.Ionic mechanisms responsible for the electro-cardiographic phenotype of the Brugada syndrome are temperature dependent[J].Circ Res,1999,85:803
-
8[8]Yan GX,Antzelevitch C.Cellular basis for the Brugada syndrome and other mechanisms of arrhythmogensis associated with ST-segment elevation[J].Circulation,1999,99:1660
-
9[9]Bezzina C,Veldkamp MW,Van den Berg MP,et al.A single Na+ channel mutation causing both long-QT and Brugada syndromes[J].Circ Res,1999,85:1206
-
10[10]Di Diego JM,Sun ZQ,Antzelevitch C.Ito and action potential notch are smaller in left vs right canine ventricular epicardium[J].Am J Physiol,1996,271:H54813
同被引文献18
-
1张夏琳,卢亦伟.Brugada波的临床意义[J].心血管康复医学杂志,2006,15(4):394-395. 被引量：5
-
2Brugada P,Brugada J.Right bundle branch block,persistent ST segment elevation and sudden cardiac death:a distinct clinical and electrocardiographic syndrome.A multicenter report[J].Am Coll Cardiol,1992,20(6):1391-1396.
-
3Atarashi H,Ogawa S,Harumi K,et al.Characteristics of patients with right bundlebranch block and ST-segment elevation in right precordial leads[J].Am Coll Cardiol,1996,78:581-583.
-
4Brugada J,Brugada R,Brugada P.Right bundle branch block and ST segment elevation in leads V1-V3,Amarker for sudden death in patients without demonstrable structural heart disease[J].Circulation,1998,97:457-460.
-
5Martini B,Nava A,Cancinani B.Right bundle branch block,persistent ST segment elevation and sudden cardiac death[J].Am Coll Cardiol,1993,22(2):633.
-
6Yan GX,Antzelevitch C.Cellular basis for idiopthic VT VFsyndrome[J].Circulation,1996,94:624-625.
-
7Antzelevitch C.The Brugada syndrome[J].Cardiovasc Electrophysiol,1998,9(5):513-516.
-
8Wilde AA,Antzelebitch C,Borggrefe M.Consensus report,proposed diagnostic criteria for the Brugada syndrome[J].European Heart Journal,2002,23:1648.
-
9C.J.Edge,D.J.Blackman,K.Guptal,M.Sainsburyl.General anaesthesia in a patient with Brugada syndrome[J].British Journal of Anaesthesia,2002,89(5):788-791.
-
10H.Hayashida,Y.Miyauchi.Anaesthetic management in patients with high-risk Brugada syndrome[J].Br.J.Anaesth,2006,97(1):118-119.
-
1李广珠,凌佩莹.急性有机磷农药中毒65例临床心电图分析[J].右江民族医学院学报,1995,17(3):305-306.
-
2顾丽华.胆心综合征60例心电图ST-T改变分析[J].交通医学,2012,26(3):244-245. 被引量：1
-
3王嘉莉,姜红,曾玉杰,李爱莉.冠状动脉-肺动脉瘘复杂病变一例[J].中国全科医学,2011,14(24):2807-2807.
-
4包萍,陶长生,朱晓非,刘龙粉.急性冠脉综合征患者aVR导联ST段变化与冠状动脉Gensini评分的相关性研究[J].临床军医杂志,2015,43(9):909-912. 被引量：4
-
5张庆华,陆钊,荆西玲.运动试验引起的室上性早搏ST段压低的临床意义[J].临沂医学专科学校学报,1998,20(3):237-238.
-
6卢喜烈,石亚君,帅莉,易军,孙静.Brugada综合征4例临床和心电图分析[J].军医进修学院学报,2002,23(4):264-264.
-
7杨灵,杨全德.胆心综合征40例心电图分析[J].中外医学研究,2013,11(24):77-78. 被引量：2
-
8张东风.176例有机磷农药作业工人心电图分析[J].中华劳动卫生职业病杂志,2008,26(10):587-587. 被引量：3
-
9徐晓.ST段水平延长在冠心病诊断中的价值[J].心血管康复医学杂志,2005,14(2):171-172. 被引量：1
-
10耿桂英,武继玲,田会东.70例自发性气胸时心电图表现分析[J].临沂医学专科学校学报,1996,18(1):51-51.
