循環器ジャーナル65巻3号

2017年07月発行

特集 不整脈診療—ずっと疑問・まだ疑問 Ⅲ．心室性不整脈

Brugada型心電図に出会ったら

著者： 小島敏弥¹

所属機関： ¹東京大学医学部附属病院循環器内科

ページ範囲：P.494 - P.500

Point
・Brugada型心電図についてはcoved型に注目し，失神の既往，45歳以下の突然死の家族歴といったリスクファクターコンビネーションを基に心臓電気生理検査，植込み型除細動器（ICD）の適応を判断する．
・Brugada症候群の治療として，ICDのほか，薬物療法，カテーテルアブレーションといった補助治療が挙げられるが，その効果と長期予後に関しては不明な点が多く，今後の課題である．

参考文献

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