适当的植入式心律转复除颤器治疗引发中暑。

Q3 Medicine

Indian Pacing and Electrophysiology Journal Pub Date : 2025-01-01 DOI:10.1016/j.ipej.2024.12.001

Carlos Fernando Paz Mamani , Mauricio Arce Carreón , Francisco Femenia , Josep Brugada

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引用次数: 0

摘要

我们报告了一例20岁男性，有晕厥史和Brugada 1型模式，经氟卡因药理学试验证实，电生理研究显示诱发性室性心动过速，并接受了植入式心律转复除颤器（ICD）的放置。随访12个月，患者无症状；在极端高温（46°C）的一天，他出现晕厥前发作，随后出现ICD休克。该患者因中暑症状被送往急诊室。心电图显示Brugada 1型型，ICD询问显示心室颤动，随后成功转换为36焦耳休克。除静脉输液外，采用物理方法降低体温。患者病情稳定，48小时后出院。

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Appropriate implantable cardioverter-defibrillator therapy triggered by heat stroke

We present a case of a 20 years old male with a history of syncope and Brugada type 1 pattern confirmed by a pharmacological test with flecainide, inducible ventricular tachycardia on an electrophysiological study, and had undergone placement of implantable cardioverter-defibrillator (ICD). In 12 months of follow-up, the patient was asymptomatic; on a day of extreme heat (46°C), he had a presyncope episode followed by an ICD shock. The patient was brought to the emergency room with heat stroke symptoms. ECG showed a Brugada type 1 pattern, and ICD interrogation showed ventricular fibrillation followed by successful conversion with 36-joules shock. Physical methods were used to lower body temperature in addition to intravenous fluids infusion. The patient was stabilized and discharged after 48 hrs.

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来源期刊

Indian Pacing and Electrophysiology Journal Medicine-Cardiology and Cardiovascular Medicine

CiteScore

2.20

自引率

0.00%

发文量

审稿时长

61 days

期刊介绍： Indian Pacing and Electrophysiology Journal is a peer reviewed online journal devoted to cardiac pacing and electrophysiology. Editorial Advisory Board includes eminent personalities in the field of cardiac pacing and electrophysiology from Asia, Australia, Europe and North America.