背景技术Brugada综合征的特征在于导致个体发生室性心律失常和心源性猝死的特定心电图改变。Brugada综合征和缺血性卒中并存的病例很少记录,潜在的病理生理联系尚不清楚。本文介绍了一个病例,其中患者同时表现出Brugada综合征模式和缺血性中风,促进全面的文献综述,探讨Brugada综合征与缺血性卒中之间的潜在关联.案例报告一个49岁的男人,以前很健康,在他的工作场所被发现昏迷后被送往医院。体格检查显示血氧饱和度低,发烧,和异常的神经系统表现。头部计算机断层扫描显示严重的后循环缺血性中风。心电图最初显示Brugada综合征II型,发展到III型模式。尽管努力,病人的病情迅速恶化,导致24小时内死亡。据我们所知,后循环缺血性卒中后的Brugada模式仅在另一种情况下被记录,患者也被诊断为心房颤动。结论我们的文献综述和所提出的病例都表明Brugada模式可能与缺血性卒中共存甚至相关。需要更广泛的研究来阐明这种潜在的关联。Brugada综合征是否是缺血性中风的先兆或结果的问题仍未解决。我们建议缺血性卒中患者应接受指示Brugada综合征的心电图征象评估,特别是如果没有明确的原因,比如心脏栓塞,很明显。
BACKGROUND Brugada syndrome is characterized by specific electrocardiographic changes predisposing individuals to ventricular arrhythmias and sudden cardiac death. Cases of coexisting Brugada syndrome and ischemic stroke are seldom documented, and an underlying pathophysiological link is yet unknown. This article presents a case in which a patient exhibited both Brugada syndrome patterns and an ischemic stroke, prompting a comprehensive literature
review to explore the potential association between Brugada syndrome and ischemic stroke. CASE REPORT A 49-year-old man, previously healthy, was admitted to the hospital after being discovered unconscious at his workplace. Physical exam showed low oxygen saturation, fever, and abnormal neurological findings. Head computed tomography revealed a significant posterior circulation ischemic stroke. An electrocardiogram revealed Brugada syndrome type II initially, progressing to type III pattern. Despite efforts, the patient\'s condition rapidly deteriorated, leading to death within 24 hours. As far as we\'re aware, Brugada patterns following a posterior circulation ischemic stroke have only been documented in 1 other instance, in which the patient was also diagnosed with atrial fibrillation. CONCLUSIONS Both our literature
review and the presented case indicate that Brugada patterns may coexist with and even be associated with ischemic stroke. More extensive research is required to shed light on this potential association. The question of whether Brugada syndrome is a precursor to or a result of ischemic stroke remains unanswered. We propose that patients with ischemic stroke should undergo an evaluation for electrocardiographic signs indicative of Brugada syndrome, particularly if no clear causes, like cardioembolism, are evident.