健康人高位右侧胸前导联Brugada心电图征调查  

A survey of Brugada-type electrocardiogram recorded from high right precordia spaces in healthy Chinese

作　　者：梁鹏[1] 刘文玲[2] 胡大一[2] 武东[1] 刘杰[1] 

机构地区：[1]首都医科大学附属北京同仁医院心血管中心,100730 [2]北京大学人民医院心内科

出　　处：《中华内科杂志》2007年第6期454-457,共4页Chinese Journal of Internal Medicine

摘　　要：目的初步了解我国健康人高位右侧胸前导联 Brugada 心电图征发生率及其意义。方法对1005例健康体检者进行病史询问、体格检查、X 线胸片、标准12导联和第二肋间右侧胸前导联心电图检查,按照欧洲心脏病学会制定的标准筛选 Brugada 心电图征。结果排除4例器质性心脏病和心律失常患者后,共1001例(男877例,女124例)人选,年龄17～75(28.3±14.8)岁。标准导联心电图检查发现5例2型 Brugada 心电图征(0.5%),第二肋间右侧胸前导联心电图检查发现47例 Brugada 心电图征(4.70%),均为男性(2型40例,3型7例)。无不明原因晕厥或黑矇史,无猝死家族史。结论对于症状不典型者,依据标准导联或高位右侧胸前导联2型或3型 Brugada 心电图征诊断 Brugada 综合征要慎重。Objective To investigate the prevalence and the significance of the Bmgada-type electrocardiogram （ECG） recorded from higher intercostal space in healthy Chinese. Methods The population of the present study consisted of 1005 subjects receiving a health examination. All subjects underwent history inquiry, physical examination and chest X-ray survey. ECGs were taken from the 4th and the 2nd intercostal spaces and examined for Brugada-type ECG according to the diagnostic criteria recommended by European Society of Cardiology. Results Four patients with cardiovascular disorders were excluded and a total of 1001 healthy subjects [age 17 -75 years, mean （28. 3 ± 14. 8） years, 877 males and 124 females] were included in the study. Five males of the 1001 subjects （0. 50% ） had Brngada-type 2 pattern on routine 12-lead ECGs. Forty-seven males of all the subjects （4. 70% ） had Brngada-type ECGs recorded from the 2nd intercostal space and Bmgada-type 2 and type 3 patterns were found in 40 and 7 respectively. All these males had no unaccountable syncope, presyncope or a family history of sudden death. Conclusions It should be careful to diagnose of Brugada syndrome according to Brugada-type 2 or type 3 ECGs recorded from either the 4th or higher intercostal spaces when typical symptoms are absent.

关 键 词：心电描记术 流行病学因素 BRUGADA综合征 

分 类 号：R540.41[医药卫生—心血管疾病]