一例年轻患者急性缺血引起st段抑制掩盖Brugada综合征的心电图模式。

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of electrocardiology Pub Date : 2025-01-01 DOI:10.1016/j.jelectrocard.2024.153853

Kristina Torngren MD , Aleksei Savelev MD , Erik Ljungström MD, PhD , Pyotr G. Platonov MD, PhD (Professor)

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引用次数: 0

摘要

Brugada综合征（BrS）的心电图特征是右心前导联st段抬高。BrS st段变化与缺血之间的重叠可能导致诊断上的挑战。我们报告了一例男性患者，其表现为反复胸痛发作和右侧心前导联ST段抬高，符合Brugada 1型心电图模式，并于30岁时被临床诊断为BrS。随访期间，患者出现急性心肌梗死，右心前导联ST段明显下降，掩盖了基线心电图的Brugada模式。

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Case presentation of acute ischemia induced ST-depression masking Brugada syndrome ECG pattern in a relatively young patient

ECG in Brugada syndrome (BrS) is characterized by a ST-segment elevation in the right precordial leads. Overlap between ST-segment changes in BrS and ischemia may lead to diagnostic challenges.

We report a case of a male patient presented with recurrent chest pain episodes and ST elevation in the right precordial leads consistent with Brugada ECG pattern type 1 and was clinically diagnosed with BrS at the age of 30 years. During follow up the patient developed acute myocardial infarction with pronounced ST depression in the right precordial leads, masking the Brugada pattern of the baseline ECG.

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来源期刊

Journal of electrocardiology 医学-心血管系统

CiteScore

2.70

自引率

7.70%

发文量

152

审稿时长

38 days

期刊介绍： The Journal of Electrocardiology is devoted exclusively to clinical and experimental studies of the electrical activities of the heart. It seeks to contribute significantly to the accuracy of diagnosis and prognosis and the effective treatment, prevention, or delay of heart disease. Editorial contents include electrocardiography, vectorcardiography, arrhythmias, membrane action potential, cardiac pacing, monitoring defibrillation, instrumentation, drug effects, and computer applications.