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頁籤選單縮合
題名 | Brugada Syndrome in the Elderly in Taiwan--Report of Two Cases=臺灣老人的Brugada症候群--兩病例報告 |
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作者姓名(中文) | 莊志明; 賴凌平; 林俊立; 江福田; | 書刊名 | Acta Cardiologica Sinica |
卷期 | 21:1 2005.03[民94.03] |
頁次 | 頁62-67 |
分類號 | 415.31 |
關鍵詞 | Brugada症候群; 老年人族群; 心室顫動; 突發性心因性猝死; Brugada syndrome; Elder population; Ventricular fibrillation; Sudden cardiac death; |
語文 | 英文(English) |
中文摘要 | Bmgada症候群是一種可能致死的心室性心律不整疾病。它在心電圖V1-3上會有特殊的ST節段上升,但QT間距正常且無任何心臟結構間題。臨床表現可突然暈厥或猝死,平均發病年齡在四十歲左右,以男性為多。在這裡,我們報告了兩個Brugada症候群的老人案例,分別是71歲及74歲。一個是突然心臟停止,另一個是反覆暈厥。兩個都帶有Coved型Brugada心電圖,其中一個接受Procainamide誘發試驗呈陽性反應。他們都有裝置體內去顫器,其中一個在裝置後四個禮拜內復發,但都經體內去顫器成功救治。從我們的報告可以看出Brugada症候群即使在大於70歲的老人仍可出現,且臨床表現和年輕人的Brugada症候群一樣嚴重。 |
英文摘要 | Brugada syndrome is a potentially lethal ventricular arrhythmia disease with an ECG pattern of ST-segment elevation in leads VI-3 and normal QT interval without structural heart disease. Clinical presentation of Brugada syndrome is characterized by a male predominance with syncope or sudden death, mostly at an average age of 40 years. We report 2 male patients, in whom the diagnosis was made at the ages of 71 and 74 years, respectively. They presented with aborted sudden death or repeated syncope. They had coved-type Brugada ECG, and one of them had positive procainamide provocative test. Both received implantation of a cardioverter defibrillator. One had recurrent events and received ICD discharge within 4 weeks after implantation. Our study showed that Brugada syndrome could occur in the elderly, and its clinical presentations were as severe as those in younger patients. |
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