教職員の健康診断で検出されたBrugada症候群の実態

概要

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Brugada syndrome is characterized by specific electrocardiographic (ECG) findings such as right bundle branch bock pattern and ST segment elevation in right precordial leads (i.e., V_1 -V_3). This syndrome is sometimes associated with sudden cardiac death due to idiopathic ventricular fibrillation observed especially at night. Most subjects with this syndrome are males and found occasionally by standard ECG recordings. In this report, we summarize all cases of this syndrome detected by annual health check of Kyushu University staff. They were all males (n = 8) without any symptoms ascribed to this syndrome. We also present a patient of this syndrome, who underwent ambulatory ECG monitoring and electrophysiologic study in detail under hospitalization. Incidence of this syndrome in Kyushu University staff (0.148 %) was similar to that reported in literature. Risk stratification of this syndrome and prevention of nocturnal sudden cardiac death should be highlighted.
九州大学の論文