[SCD-FORUM] 9S答复：心悸及心脏性猝死的危险- Munoz医师

[SCD Symposium]

9S答复：心悸及心脏性猝死的危险- Munoz医师
首先，我亲爱的同道，我想强调一下预激综合征的首 
要特点之一便是，与WPW (一种室上性心动过速)类似， 
由短PR和delta波构成。如果未发现异常折返环（肯特 
束）介导的异常活动，我们应该考虑是否有药物影 
响、拟交感作用或进行甲状腺功能评估。当然，它还 
可能与ansiogenic" 状态有关，可能的话，深入研究中， 
考虑到年龄的特点，应对可能存在的麻醉药物依赖相 
关行为进行观察。一般来说，长 QT (或Brugada) 综合征 
的特点是女性的发病率远远大于男性；而且，可以方 
便的进行负荷试验（运动负荷试验）来检查是否存在 
先兆症状改变，后者使患者极易发生猝死综合征。

恰当的筛选十分有益，而且不要忘记进行全面的症状 
评估。

致

Marcelo Muñoz 教授



Dr. Sergio Dubner

科学委员会主席

Dr. Edgardo Schapachnik

指导委员会主席

张欣译 王玲洁校



9S RE: Palpitations and SD risk Dr. Munoz



First, my dear colleague, I would like to emphasize that one of the

preferential patterns of behavior about pre-excitation syndromes,

just as the case of WPW (case of supraventricular tachycardias), is

constituted by short PR with delta wave. If there is no anomalous

behavior pattern by anomalous reentry conduction (Kent's bundle), we

should discuss if there is pharmacological or sympathomimetic

background, as well as thyroid evaluation. Possibly, it may also be

associated to "ansiogenic" state, as well as possibly researching in

more depth, behavioral aspects should be observed, related to

possible narcotic drug dependency, considering the age

characteristics. Long QT (BrS) is generally characteristic of the

female gender with a much greater prevalence over the male gender; on

the other hand it would be convenient to perform a stress test

(stress ergometer test) to check whether there are symptom

alterations, which may leave the patient vulnerable to SDS (sudden

death syndrome).

An appropriate screening would be very helpful, not forgetting a

thorough semiological test.

Sincerely,

Prof. Marcelo Muñoz



--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee