[SCD-FORUM] 13E：一例有典型血管迷走神经性晕厥病史、心电图呈II型Brugada形态的患者－Alizadeh医师

[SCD Symposium]

13E：一例有典型血管迷走神经性晕厥病史、心电图呈 
II型Brugada形态的患者－Alizadeh医师：

首先感谢这次大会的组织者们！

我的问题是关于一例患者：有典型血管迷走神经性晕 
厥病史，直立倾斜试验（HUTT）阳性，无心脏猝死家 
族史，在无药物激发时，心电图可呈II型Brugada形态， 
氟卡尼激发试验中呈I型Brugada形态。

您认为下一步评价是通过电生理检查还是基因学测定 
呢？

对于有典型血管迷走性晕厥病史、心电图呈Ⅱ型 
Brugada形态的患者首选检查是什么？氟卡尼试验还是 
直立倾斜试验（HUTT）？

致

Hormoz Alizadeh 医师

Rajaje心血管医学研究中心

起搏电生理中心

伊朗 德黑兰

Sergio Dubner博士

科委会主席

Edgardo Schapachnik博士

组委会主席

白英楠译 王玲洁校



13E  A patient with typical vasovagal syncope based on history and  
type II Brugada pattern. Dr. Alizadeh

I would like to thank the organizers of this symposium

    My question is about a patient with typical vasovagal syncope

based on history and positive HUTT, negative family history for SCD,

type II Brugada pattern without drug chalenge test and type I Brugada

pattern in ECG after flecainide test.   Do you recommend further   
evaluation by electrophysiologic testing  or genetic study?   what is  
the first choice for a patient with typical vasovagal  syncope based  
on history and type II Brugada pattern? flecainide test  or HUTT.

    Best regards

Hormoz Alizadeh MD

Department of Pacemaker and Electrophysiology

Rajaie Cardiovascular Medical and Research Center

Tehran, Iran


--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee