使用恐惧症 (Brugadaphobia) 是一种恐惧症
Laszlo Littmann1, William C Bock2
1Department of Internal Medicine, Atrium Health Carolinas Medical Center, Charlotte, NC, USA.
The Journal of innovations in cardiac rhythm management
|October 13, 2025
概括
可卡因中毒可能会导致无症状个体在心电图上暂时出现布鲁加达模式. 这一案例突出了"brugadaphobia",即对心脏突然死亡的毫无根据的恐惧,以及管理这些患者的挑战.
科学领域:
- 心脏病学 心脏病学
- 临床毒理学 临床毒理学
背景情况:
- 电心电图 (ECG) 上的布鲁加达模式与心脏突然死亡的风险增加有关.
- 众所周知,使用可卡因会导致各种心血管并发症.
- 布鲁加达模式可能是短暂的,并由某些因素引起.
研究的目的:
- 在一个无症状的年轻人身上报告一种可卡因诱导的布鲁加达模式.
- 讨论"布鲁加达恐惧症"现象 - - 布鲁加达型心电图患者对心脏突然死亡的过度恐惧.
- 要突出决策的复杂性关于侵入性手术的无症状的个体与短暂的布鲁加达模式.
主要方法:
- 一个年轻的男性患者的案例介绍,他患有可卡因中毒.
- 在中毒期间和之后进行心电图 (ECG) 监测.
- 讨论临床管理和患者/家庭关于心脏转换器-除器植入的决策.
主要成果:
- 患者在可卡因中毒后ECG上呈现1型布鲁加达图案.
- 布鲁加达模式自发地消失,随访心电图仍然正常.
- 尽管心电图异常和没有症状的性质是暂时的,但患者和家人继续寻求心脏转换器-除器植入.
结论:
- 过渡性布鲁加达模式可以由可卡因中毒等因素诱导,在没有潜在心脏病的个体中.
- 患有过渡性布鲁加达模式的无症状患者可能会经历"布鲁加达恐惧症",导致可能不必要的干预.
- 在考虑对布鲁加达型心电图无症状个体进行干预时,共同决策,仔细权衡风险和益处至关重要.
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