[SCD-FORUM] 58S RE: 关于Brugada综合征的几个问题。 Asensio医生

[SCD INFO]

58S RE:关于Brugada综合征的几个问题。    Asensio医生
Brugada I型表现是对因迷走神经性休克所致改变的反应，而Bezold-Jarish型是对 
神经心源
性晕厥的反应吗？很明显，两者的主要问题是前负荷/静脉回流。
 
                                                 Sergio Dubner博士
                                                  科委会主席
                                                Edgardo Schapachnik博士
                                                     组委会主席
                                                潘佳君译 王玲洁校

58S RE: Some questions about Brugada Syndrome. Dr. Asensio
Could Brugada type I pattern respond to changes derived from vagal  
shock and Bezold-Jarish type response of neurocardiogenic syncope, in  
which apparently, the main problem is in preload/venous return?
Enrique Asensio L.
México
 
--
Dr. Sergio Dubner
President of Scientific Committee
 
Dr. Edgardo Schapachnik   
President of Steering Committee
 
 

> 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