美托洛尔干预Brugada综合征合并高血压1例
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摘要
1例44岁男性患者,因无明显诱因出现"心慌、胸骨后疼痛2 h"入院,既往"反复晕厥"病史3年,无器质性心脏病病史。入院后查体、查心肌酶及冠状动脉造影均未见异常。心电图示:窦性心律,心率73次·min~(-1),V_1、V_2导联呈鞍型抬高0.2～0.3 mV,诊断为Brugada综合征。给予美托洛尔(12.5 mg,q 12 h)及厄贝沙坦(150 mg,qd)口服后症状缓解。出院后继续服药,随访38个月,患者未出现明显不适症状。
One 44-year-old male patient was admitted because of palpitation and retrosternal pain for 2 hours. The patient had a 3-year history of recurrent syncope, while had no history of organic heart disease. There was no abnormality in physical examination, myocardial enzymes and coronary angiography after admission. The electrocardiogram showed sinus rhythm, heart rate 73 times per minute, saddle elevation of 0.2 – 0.3 mV in lead V_1 and V_2. The patient was diagnosed as Brugada syndrome. The symptoms were relieved after using oral administration of metoprolol(12.5 mg, q 12 h) and irbesartan(150 mg, qd). The patient continued taking those medicines after discharging from hospital. The patient was followed up for 38 months, and there was no cardiac event occurred.
One 44-year-old male patient was admitted because of palpitation and retrosternal pain for 2 hours. The patient had a 3-year history of recurrent syncope, while had no history of organic heart disease. There was no abnormality in physical examination, myocardial enzymes and coronary angiography after admission. The electrocardiogram showed sinus rhythm, heart rate 73 times per minute, saddle elevation of 0.2 – 0.3 mV in lead V_1 and V_2. The patient was diagnosed as Brugada syndrome. The symptoms were relieved after using oral administration of metoprolol(12.5 mg, q 12 h) and irbesartan(150 mg, qd). The patient continued taking those medicines after discharging from hospital. The patient was followed up for 38 months, and there was no cardiac event occurred.
引文
[1]朱轶,王慧,伍静.Brugada综合征患者的围术期麻醉管理[J].临床麻醉学杂志,2018,34(6):613-615.
[2]郑雅格,石少波,杨李文,等.Brugada综合征的研究进展[J].广西医学,2017,39(7):1061-1067.
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[5]黄姝丹,韦勤将,何凤珍,等.心脏钠离子通道基因突变与心律失常关系的研究进展[J].医学综述,2018,24(8):1463-1467.
[6]张小朵,邓斌,宋银枝,等.急性上呼吸道感染致获得性Brugada波样心电图改变1例[J].广西医学,2018,40(14):1628-1629.
[7]梁娇,李兴德.Brugada综合征1例[J].中华保健医学杂志,2016,18(2):164.
[8]祖思源.转复后心电图正常的室性心律失常诊断为隐性Brugada综合征一例[J].医疗装备,2018,31(1):110-111.
[9]韩燕臣,任国君,袁霞.Brugada综合征一例[J].中国心脏起搏与心电生理杂志,2017,31(1):93-94.
[10]施菊萍,盛臻强.Brugada综合征伴发热电风暴病人的急救与护理[J].全科护理,2018,16(6):717-718.
[11]李科,张孝忠,张丽丽,等.Brugada综合征心脏骤停抢救成功1例[J].临床检验杂志,2018,7(1):173-175.
[2]郑雅格,石少波,杨李文,等.Brugada综合征的研究进展[J].广西医学,2017,39(7):1061-1067.
[3]吴杰.亚洲和中国心脏性猝死[J].中国心脏起搏与心电生理杂志,2017,31(3):189-191.
[4]庄徽,王静.J波综合征研究进展[J].心血管病学进展,2017,38(2):134-137.
[5]黄姝丹,韦勤将,何凤珍,等.心脏钠离子通道基因突变与心律失常关系的研究进展[J].医学综述,2018,24(8):1463-1467.
[6]张小朵,邓斌,宋银枝,等.急性上呼吸道感染致获得性Brugada波样心电图改变1例[J].广西医学,2018,40(14):1628-1629.
[7]梁娇,李兴德.Brugada综合征1例[J].中华保健医学杂志,2016,18(2):164.
[8]祖思源.转复后心电图正常的室性心律失常诊断为隐性Brugada综合征一例[J].医疗装备,2018,31(1):110-111.
[9]韩燕臣,任国君,袁霞.Brugada综合征一例[J].中国心脏起搏与心电生理杂志,2017,31(1):93-94.
[10]施菊萍,盛臻强.Brugada综合征伴发热电风暴病人的急救与护理[J].全科护理,2018,16(6):717-718.
[11]李科,张孝忠,张丽丽,等.Brugada综合征心脏骤停抢救成功1例[J].临床检验杂志,2018,7(1):173-175.