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藏族Brugada综合征Ⅰ型1例报告
王磊1,李洋2,成建国2,张启高1*
0
(1. 南京军区南京总医院心脏内科, 南京 210000;
2. 西藏自治区第二人民医院, 拉萨 850000
*通信作者)
摘要:
一名42岁藏族男性患者因心功能不全及持续性室性心动过速入院,经电复律成功后心电图为窦性心律,呈典型Brugada I型改变(V1-3导联)。此后其心功能及继发的肝肾功能逐步缓解后出院并于1月后随诊无特殊不适主诉,复查心电图保持Brugada I型改变,胸片示心脏较前明显缩小。该病例为国内首次报道藏族brugada综合征(Brugada syndrome,Brs)患者。
关键词:  综合征  室性心动过速  心力衰竭
DOI:10.3724/SP.J.1008.2015.00577
投稿时间:2014-12-10修订日期:2015-01-22
基金项目:
Type Ⅰ Brugada syndrome in a Tibetan patient
WANG Lei1,LI Yang2,CHENG Jian-guo2,ZHANG Qi-gao*1*
(1. Department of Cardiology, Nanjing General Hospital, PLA Nanjing Military Area Command,Nanjing 210000, Jiangsu, China;
2. Second People's Hospital of the Tibet Autonomous Region, Lhasa 850000, Xizang Autonomous Region, China
*Corresponding author)
Abstract:
A tibetan in-patient aged 43y suffered from ventricular tachycardia and heart failure was cheated with electrical cardioversion,and whose electrocardiogram (ECG)displayed typical type I Brugada wave from lead V1 to V3.Then his heart failure、secondary renal and hepatic inadequacy returened to normal gradually.Followed up one month after discharge,the patient had no complain,and there were type I Brugada wave in ECG as before and heart shadow shrunk in x-ray chest film.It is the first case report about the Brugada syndrome(Brs)in the tibetan.
Key words:  Brugada syndrome  ventricular tachycardia  heart failure