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目的分析Brugada综合征患者的心电图及临床特点。方法对我院近5年诊断的8例Brugada综合征住院患者的心电图及临床情况进行长期随访观察。结果8例Brugada综合征患者均为男性,年龄平均(40±13)岁。心电图I型Brugada波者3例,Ⅱ型4例,Ⅲ型1例;Brugada波具有多变性,提高肋间描记右胸导联心电图可显现Brugada波或使其更明显。8例中4例有猝死家族史,5例有晕厥史,3例在住院期间发生室速/室颤,随访期间2例猝死。结论心电图Brugada波(尤其I型)是诊断Brugada综合征的必要条件,明确诊断Brugada综合征尚需联合其他几项临床指标;Brugada综合征患者猝死的风险高,消除晕厥或室速/室颤的诱因是预防的关键。
Objective To analyze the electrocardiogram and clinical features of patients with Brugada syndrome. Methods Long-term follow-up of 8 patients with Brugada syndrome who were hospitalized in our hospital in the recent 5 years was performed. Results All 8 patients with Brugada syndrome were male, with an average age of (40 ± 13) years. ECG in type B Brugada wave in 3 cases, type Ⅱ in 4 cases, type Ⅲ in 1 case; Brugada wave has variability to improve the intercostal right chest lead ECG can show or make it more obvious Brugada. Four of the 8 patients had a sudden family history of sudden death, 5 had a history of syncope, 3 had ventricular tachycardia / ventricular fibrillation during hospitalization, and 2 died during follow-up. Conclusion ECG Brugada wave (especially type I) is a necessary condition for the diagnosis of Brugada syndrome, diagnosis of Brugada syndrome need to be combined with several other clinical indicators; Brugada syndrome patients with high risk of sudden death, to eliminate syncope or ventricular tachycardia / ventricular fibrillation Inducement is the key to prevention.