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首页> 外文期刊>Case Reports in Cardiology >Early Response after Catheter Ablation of the Epicardial Substrate in a Patient with Brugada Syndrome Can Be Predicted by High Precordial Leads
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Early Response after Catheter Ablation of the Epicardial Substrate in a Patient with Brugada Syndrome Can Be Predicted by High Precordial Leads

机译：高胸前导联可预测Brugada综合征患者心外膜导管消融后的早期反应

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摘要

A 52-year-old male with Brugada syndrome presented with repeated and appropriate shock from an implantable cardioverter defibrillator (ICD). Catheter ablation for substrate elimination targeting low-voltage, complex, and fractionated electrocardiograms and late potentials in the epicardial right ventricular outflow tract was successfully performed. Brugada phenotype in the right precordial leads from the third intercostal space disappeared in the early stage after catheter ablation and that from the standard fourth intercostal space disappeared later. He remained free from ventricular fibrillation over the next fourteen months. We suggest that this novel ablation strategy is effective in Brugada syndrome patients with ICD, and early response after catheter ablation can be predicted by high precordial leads.
机译：一名患有Brugada综合征的52岁男性因植入式心脏复律除颤器（ICD）反复出现适当的电击。成功地进行了导管消融术，以针对低电压，复杂心电图和分数心电图以及心外膜右心室流出道中的晚期电位进行底物消除。导管消融后，右前胸前导区的Brugada表型在第三个肋间间隙消失，而在标准第四肋间后消失。在接下来的十四个月中，他没有出现心室纤颤。我们建议这种新颖的消融策略对Brugada综合征的ICD患者有效，导管消融后的早期反应可通过高胸前导联来预测。

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