高位右侧胸前导联对揭示Brugada综合征心电图的有效性(1)
【摘要】 目的：探究高位右侧胸前导联在揭示Brugada综合征心电图征中的应用意义。方法：选取本院2012年
6月-2014年9月收治的伴有猝死家族史(心电图胸前导联呈ST段抬高)的3个家系(9个成员)为试验组，另择取同期来本院体查的32例健康体检者为对照组，均行常规与高位右侧胸前导联心电图检查，探究高位右侧胸前导联对Brugada综合征心电图征诊断的应用价值。结果：试验组9个成员均行体格、超声心动图检查，家系1常规与高位右侧胸前导联未显现Brugada综合征心电图特征；家系2先证者常规心电图J波呈现增高，V1’～V3’导联J波呈增高趋势，维持0.15～0.5 mV；家系3中的例1、例3心电图提示为Brugada综合征，V1”～V3”导联J波明显增高，维持0.2～0.7 mV。32例健康体检者中，20例常规心电图呈早期复极，1例V1’～V3’导联J波明显增高，11例V1”～V3”导联J波显著增高，所有健康体检者均不吻合Brugada综合征心电图诊断标准。结论：相较于常规心电图而言，高位右侧胸前导联心电图能有效提升Brugada综合征心电图诊断阳性率，临床上应引起足够重视。
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【关键词】 高位右侧胸前导联； Brugada综合征； 心电图； 有效性； 应用意义
The Effectiveness of High Right Precordial Leads to Reveal Brugada Syndrome ECG/HUANG Shao-na.//Medical Innovation of China，2015，12(20)：040-043
【Abstract】 Objective：To explore the application significance of high right precordial leads in revealing the comprehensive Brugada syndrome ECG.Method：3 families of 9 members with family history of sudden death (precordial showed ST segment elevation) were selected in our hospital from June 2012 to September 2014 as the experimental group，32 healthy subjects at the same period did physical examination were selected in our hospital as the control group，conventional and high right precordial ECG examination were used by two groups，the diagnosis application value of high right precordial leads to Brugada syndrome ECG was explored.Result：In experimental group，9 members were performed physical and ultrasonic beckoning graph examination.Family 1 with routine and high lead the right precordial not showed the electrocardiogram characteristics of Brugada syndrome；family 2 propositus showed the electrocardiogram of J wave with a trend of increase，the J wave with V1’-V3’ showed a trend of increase，maintain 0.15-0.5 mV；case 1，3 in family 3，electrocardiogram showed the Brugada syndrome，the J wave with V1"-V3" increased obviously，maintain 0.2-0.7 mV.In 32 healthy subjects，20 cases of routine electrocardiogram showed early repolarization，1 case of V1’-V3’ lead J wave increased，11 cases of V1"-V3" J wave in lead significantly increased，all healthy persons were not matched Brugada syndrome ECG diagnosis standard.Conclusion：Compared with conventional ECG，high right precordial ECG can effectively improve Brugada integrated syndrome ECG diagnosis positive rate，it is should cause enough attention in clinical.
【Key words】 High right precordial lead； Brugada syndrome； Electrocardiogram； Effectiveness； Application significance
First-author’s address：Puning People’s Hospital，Puning 515300，China, 百拇医药(黄少娜)
6月-2014年9月收治的伴有猝死家族史(心电图胸前导联呈ST段抬高)的3个家系(9个成员)为试验组，另择取同期来本院体查的32例健康体检者为对照组，均行常规与高位右侧胸前导联心电图检查，探究高位右侧胸前导联对Brugada综合征心电图征诊断的应用价值。结果：试验组9个成员均行体格、超声心动图检查，家系1常规与高位右侧胸前导联未显现Brugada综合征心电图特征；家系2先证者常规心电图J波呈现增高，V1’～V3’导联J波呈增高趋势，维持0.15～0.5 mV；家系3中的例1、例3心电图提示为Brugada综合征，V1”～V3”导联J波明显增高，维持0.2～0.7 mV。32例健康体检者中，20例常规心电图呈早期复极，1例V1’～V3’导联J波明显增高，11例V1”～V3”导联J波显著增高，所有健康体检者均不吻合Brugada综合征心电图诊断标准。结论：相较于常规心电图而言，高位右侧胸前导联心电图能有效提升Brugada综合征心电图诊断阳性率，临床上应引起足够重视。
, http://www.100md.com
【关键词】 高位右侧胸前导联； Brugada综合征； 心电图； 有效性； 应用意义
The Effectiveness of High Right Precordial Leads to Reveal Brugada Syndrome ECG/HUANG Shao-na.//Medical Innovation of China，2015，12(20)：040-043
【Abstract】 Objective：To explore the application significance of high right precordial leads in revealing the comprehensive Brugada syndrome ECG.Method：3 families of 9 members with family history of sudden death (precordial showed ST segment elevation) were selected in our hospital from June 2012 to September 2014 as the experimental group，32 healthy subjects at the same period did physical examination were selected in our hospital as the control group，conventional and high right precordial ECG examination were used by two groups，the diagnosis application value of high right precordial leads to Brugada syndrome ECG was explored.Result：In experimental group，9 members were performed physical and ultrasonic beckoning graph examination.Family 1 with routine and high lead the right precordial not showed the electrocardiogram characteristics of Brugada syndrome；family 2 propositus showed the electrocardiogram of J wave with a trend of increase，the J wave with V1’-V3’ showed a trend of increase，maintain 0.15-0.5 mV；case 1，3 in family 3，electrocardiogram showed the Brugada syndrome，the J wave with V1"-V3" increased obviously，maintain 0.2-0.7 mV.In 32 healthy subjects，20 cases of routine electrocardiogram showed early repolarization，1 case of V1’-V3’ lead J wave increased，11 cases of V1"-V3" J wave in lead significantly increased，all healthy persons were not matched Brugada syndrome ECG diagnosis standard.Conclusion：Compared with conventional ECG，high right precordial ECG can effectively improve Brugada integrated syndrome ECG diagnosis positive rate，it is should cause enough attention in clinical.
【Key words】 High right precordial lead； Brugada syndrome； Electrocardiogram； Effectiveness； Application significance
First-author’s address：Puning People’s Hospital，Puning 515300，China, 百拇医药(黄少娜)