Brugada综合征
摘要
Brugada综合征是指具有反复发生心室颤动危险的一组病人,此组病人多无器质性心脏病,心电图表现为右束支传导阻滞和右胸导联上ST段抬高。此综合征是钠通道α亚单位遗传缺陷所致,该缺陷引起钠内流减少,心外膜动作电位切迹更加明显,从而使ST段更加抬高。钠通道阻滞剂可强化这些临床表现,并用于筛选间歇性出现心电图变化的病人。这些病人预后较差,有症状的病人需要安装ICD治疗。
出处
《世界医学杂志》
2003年第2期23-26,共4页
International Journal of Medicine
参考文献47
-
1Belhassen B, Viskin S: Idiopathic ventricular tachycardia and fibrillation. J Cardiovasc Electrophysiol 1993, 4: 356-368.
-
2Myerburg Rl: Sudden cardiac death in persons with normal (or near normal)hearts. Am J Cardiol 1997, 79: 3-9.
-
3Brugada 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 Coil Cardiol 1992, 20: 1391-1396.
-
4Chen Q, Kirsch GE, Zhang D, et al.: Genetic basis and molecular mechanisms for idiopathic ventricular fibrillation. Nature 1998, 392: 293-296.
-
5Makita N, Shirai N, Wang DW, et al.: Cardiac Na (+) channel dysfunction in Brugada syndrome is aggravated by beta (1) -subunit. Circulation 2000,101:54-60.
-
6Gussak 1, Antzelevitch C, Bjerregaard P, et al.: The Brugada syndrome: clinical,electrophysiological and genetic aspects. J Am Coil Cardiol 1999,33: 5-15.
-
7Antzelevitch C: The Brugada syndrome. J Cardiovasc Electrophysiol 1998,9:513-516.
-
8Rook MB, Alshinawi CB, Groenewegen WA, et al.: Human SCN5A gene mutations alter cardiac sodium channel kinetics and are associated with the Brugada syndrome. Cardiovasc Res 1999, 44: 507-517.
-
9BrugadaR, Roberts R: The molecular genetics of arrhythmias and sudden death.Clin Cardiol 1998, 21: 553-560.
-
10Bennett PB, Yazawa K, Makita N, et al.: Molecular mechanism for an inherited cardiac althythmia. Nature 1995, 376: 683-685.
-
1昃峰,张海澄.I类抗心律失常药物对心电的影响[J].心电学杂志,2010(2):160-161.
-
2余剑波,郭继鸿.Brugada综合征的心电图特征及其影响因素[J].心血管病学进展,2003,24(6):443-445. 被引量:1
-
3刘艳霞,王祖禄.伊伐布雷定研究进展[J].心血管康复医学杂志,2010,19(5):562-565. 被引量:7
-
4黄大显,刘国树,杨廷树,智光,李天德,盖鲁粤.Na^+通道阻滞剂对心肌梗死再通后心律失常的治疗及对心力衰竭患者血液动力学的影响[J].解放军医学杂志,1997,22(4):281-282.
-
5李翠兰.Brugada综合征病人的临床诊断与危险分层[J].中国医药导刊,2002,4(4):253-255.
-
6万征,李洪仕.急性冠状动脉综合征与心律失常[J].中华医学信息导报,2015,0(19):14-14. 被引量:3
-
7赵京文,高晖.胺碘酮与心律平应用于房颤转复与维持窦律96例对比分析[J].陕西医学杂志,2008,37(1):80-82. 被引量:5
-
8周舟.心律失常治疗的回顾与展望[J].现代实用医学,2002,14(1):44-46.
-
9段军,李向平.新型Ⅲ类抗心律失常药物阿齐利特[J].中国新药杂志,2005,14(1):114-117. 被引量:3
-
10程中伟(摘译).国外心电学研究最新进展之二[J].江苏实用心电学杂志,2012,21(5):387-388.