Национальный цифровой ресурс Руконт - межотраслевая электронная библиотека (ЭБС) на базе технологии Контекстум (всего произведений: 634620)
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Российский кардиологический журнал  / №2 2012

СИНДРОМ БРУГАДА: КОГДА СЕРДЦЕ ПЕРЕСТАЕТ БИТЬСЯ (180,00 руб.)

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Первый авторСладяна Анджелик
Страниц4
ID458778
АннотацияТипичный пациент с синдромом Бругада – это молодой, не имеющий сопутствующих заболеваний мужчина, с нормальными результатами общеклинического обследования и физикального исследования сердечно-сосудистой системы. Описывается клинический случай успешной сердечно-легочной реанимации после остановки сердца у больного с диагностированным лишь после реанимации синдромом Бругада 2 типа
Сладяна, А. СИНДРОМ БРУГАДА: КОГДА СЕРДЦЕ ПЕРЕСТАЕТ БИТЬСЯ / А. Сладяна // Российский кардиологический журнал .— 2012 .— №2 .— С. 75-78 .— URL: https://rucont.ru/efd/458778 (дата обращения: 19.04.2024)

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Introduction During recent years, Brugada syndrome (BS) has become relatively new distinguished electrocardiographical (ECG) entity characterized by ST elevation in right precordial leads V1-V3 [1]. <...> According to Jurcevic and colleagues, right bundle block, initially being described as integral characteristic of this syndrome, does not always have to be present [2]. <...> The typical Brugada patient is young, otherwise healthy male with normal general medical and cardiovascular physical findings. <...> We call the heart of a patient with BS the “Brugada heart”. <...> Although not always, patients can have prodromes in a form of Brugada signs, such as: syncope, breathing difficulties, convulsions, ventricular arrhythmias, abnormal heart rhythm, or previous cardiac arrest (CA) [3]. <...> Unrecognized “Brugada heart” with its increased potential for producing arrhythmias, most commonly leads to sudden death. <...> Application of implantable cardioverter defibrillator (ICD) is treatment of choice for recognized “Brugada heart” and it is aimed at primary and secondary prevention of malignant ventricular rhythm disturbances (pulseless ventricular tachycardia – PVT or ventricular fibrillation – VF) [4]. <...> We present a case of successful resuscitation following “Brugada heart” arrest, where diagnosis of type 2 Brugada syndrome was made after cardiopulmonary resuscitation (CPR). <...> Case report Under first degree emergency call, Belgrade Emergency Medical Service crew was sent to see 33 years old patient who suddenly lost consciousness at home, and had breathing difficulties accompanied with wheezing and rasping. <...> Upon arrival, 8 minutes after call was collected, the crew found patient on the floor in a state of CAt (unconscious, without breathing or pulse), while his mother was delivering basic life support (BLS) measures: sternal compression and artificial ventilation. <...> In accordance to Advanced Life Support (ALS) protocol for shockable rhythm, DC shock was delivered twice, reestablishing normal heart rhythm, circulation (palpable carotid artery pulse) and breathing. <...> As patient was in post-resuscitation comma (GCS=8), he was intubated with endotracheal tube through which he breathed spontaneously, while oxygen was delivered 75 Российский кардиологический журнал 2012 <...>