Kardiorespirator tadqiqotlar jurnali. Maxsus son. 2022
Тема статьи
BRUGADA SINDROMI: KLINIK HOLAT (92-96)
Авторы
Maxkamova M.M., Nurillaeva N.M.
Учреждение
Toshkent tibbiyot akademiyasi
Аннотация
Brugada sindromi - aritmogen kasallik bo'lib, ST segmentining ko'tarilishi va o'ng prekordial EKG ning kamida ikkitasida (V1-3) J nuqtasi kamida 2 mm ga ko'tarilishi [1;4] va qorincha aritmiyasi, hushidan ketish va to'satdan o'lim bilan tavsiflanadi. Brugada elektrokardiogrammasi bo'lgan bemorlarning xavf-xatarli qatlamlari qattiq muhokama qilinmoqda. 20 yoshli ayol Respublika ixtisoslashtirilgan kardiologiya ilmiyamaliy tibbiyot markaziga holsizlik, charchoq va ko‘krak qafasidagi noqulaylik tufayli yotqizilgan. Bemor hushidan ketish va yurak urishidan aziyat chekdi. Bemorlarning so'zlariga ko'ra, oilada otaning to'satdan o'limi bo'lmagan. Ammo EKG natijalarida ukasining ST ko'tarilishi aniqlangan. Elektrokardiogramma V1 va V2 o'tkazgichlarda ST segmentining 4 mm gacha ko'tarilishini ko'rsatdi, bu spontan tip 1 Brugada namunasi sifatida tan olingan. Laboratoriya tekshiruvlari qon zardobida normal troponin T ni, qon zardobida past kaliy darajasini va yallig'lanish belgilarining yo'qligini aniqladi. Exokardiyografik ma'lumotlar normal edi. Brugada sindromining tashxisi Brugada tipidagi 1 elektrokardiogramma va klinik ko'rinish bilan qo'yilgan. Bemorda hushidan ketishdan oldingi va yurak urishi tufayli yuqori xavfli deb hisoblangan. Bemorning ahvoli barqaror, antiaritmik dori-darmonlar bilan davolangan.
Ключевые слова
hushidan ketish, qorincha taxikardiyasi, kardioverter defibrilator, NT-proBNP
Литературы
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