Profound hypothermia mimicking a Brugada type ECG

Profound hypothermia mimicking a Brugada type ECG
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DOI:
10.1016/s0022-0736(03)00043-8
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发表时间:
2003-07-01
影响因子:
1.3
通讯作者:
Cook, JR
Cook, JR
中科院分区:
医学4区
文献类型:
--
作者:
Ansari, E;Cook, JR

文献摘要

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本病例强调了低温对模拟Bru-gada综合征的心电图的影响。1800年至1990年,在动物模型中研究了低温对心脏传导系统的影响(2)。1938年首次描述了与体温过低相关的人类心电图异常(3)。低温明显减慢传导速度,延迟从心内膜到心外膜的去极化(4)。体温过低可能导致致命的室性心律失常,如心搏停止.心率以非线性方式降低,因为COOli Ing OCCurs和从心房到心房的传导
DiscussionThe current case highlights the cffccts of hypothermia on the electrocardiogram mimicking Bru-gada Syndronne.Thc effect of cooling on the cardiac conduction system in an animal model vvas studied in the la to l 800 (2). In humans the first description of an electrocardiographic abnormality associated with hypothermia was in 1938 (3). Hypothermia markedly slows conduction velocity and delays depolarization from the cndocardium to thc epicardium (4). Hypothermia may result in lethal ventricular arrhythmias such and asystole. Heart rate decreases in a nonlinear fashion as COOli Ing OCCurs and Conduction from the a tria to the