[SCD-FORUM] 47E有关Brugada综合征的一些问题――Kam医生

[SCD Symposium]

47E有关Brugada综合征的一些问题――Kam医生
     我们已经详细描述了发热时可诱发Ⅰ型Brugada。我 
也观察到一些病例，在迷走神经受到诸如严重腹痛或 
者血管迷走神经反射等强烈刺激时或刺激后即刻，可 
观察到Ⅰ型Brugada，但血管迷走神经反射引起的晕 
厥，与心脏骤停不同，患者能很快恢复，心电图随后 
会恢复正常或者呈单个孤立的Ⅱ型或Ⅲ型Brugada形 
态。这些现象的机制是什么，预后怎样？如果进行电 
生理检查，室速或室颤诱发情况如何？我希望听取此 
领域专家们的意见。
致

Ruth Kam医生
心脏病及心脏电生理顾问
Ruth Kam 心脏和心律失常临床部
#08-06, Mt Elizabeth 医学中心
新加坡228510

--
Sergio Dubner医生
科委会主席
Edgardo Schapachnik医生
组委会主席
袁奕译  王玲洁校



47E Some questions about Brugada Syndrome. Dr. Kam
Induction of a type I Brugada pattern during febrile states has been   
Well described.
I have also observed a few cases where a Type I Brugada pattern was   
Observed during or shortly after a strong vagal episode, such as  
severe abdominal pain , or a vasovagal episode, where the individual  
recovered quite  quickly as with a vasovagal syncope, unlike a sudden  
cardiac arrest  situation. The ECG subsequently reverted to normal or  
a Type II or III pattern on a separate occasion.
What is the mechanism of these observations and what is the   
prognosis? If EPS is performed, how often is VT/VF inducible? I would  
like to hear the opinion of the experts in this field.
Sincerely
Dr Ruth Kam
Consultant Cardiologist and Cardiac Electrophysiologist
Ruth Kam Heart and Arrhythmia Clinic
#08-06, Mt Elizabeth Medical Centre
Singapore 228510

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee