1992年,Brugada和Brugada首次描述了一个新实体,被称为布鲁加达综合症,在没有结构性心脏病的患者中,这与室性心律失常和心源性猝死的高风险相关。这种综合征的特征是一个独特的心电图表型,1型Brugada模式,由狭窄的ST段抬高(≥0.2mV)组成,然后在一个以上的右心前导联中出现负T波。这种模式是动态的,可以是自发的或隐藏的,但在某些情况下被揭露,比如发热州。作者报告了一例在发热状态下复发性晕厥的病因研究过程中诊断为Brugada综合征的病例。
In 1992, Brugada and Brugada first described a new entity, which became known as Brugada syndrome, that is associated with a high risk of ventricular arrhythmias and sudden cardiac death in patients without structural heart disease. This syndrome is characterized by a distinct electrocardiographic phenotype, type 1 Brugada pattern, consisting of a coved ST-segment elevation (≥0.2 mV) followed by a negative T wave in more than one right precordial lead. This pattern is dynamic, and can be spontaneous or concealed, but is unmasked under certain circumstances, like febrile states. The authors report a
case in which the diagnosis of Brugada syndrome was made in the course of etiologic investigation of recurrent syncope in a febrile state.