REGIONAL ANAESTHESIA IN A PATIENT WITH BRUGADA SYNDROME; CASE REPORT. Brugda sendromlu bir hastada rejyonel anestezi uygulamas?; Olgu sunumu.

摘要

Brugada syndrome first described by Brugada and Brugada in 1992, is a rare genetic disease characterized by abnormal electrocardiogram findings and an increased risk of sudden cardiac death by ventricular fibrillation. Brugada syndrome is characterized by an ECG pattern of right bundle branch block and ST segment elevation in the right precordial leads (V1 to V3), without evidence of underlying structural heart disease. Some patients have a normal ECG at rest and changes are only apparent on provocation with drugs, in particular sodium channel blockers. Regional anaesthesia experience is limited in the patints with Brugada syndrom. We report a case of regional anaesthetic procedure for a patient with Brugada syndrome who underwent arthroscopic surgery.?ZETBrugada Sendromu (BrS) ilk olarak 1992 y?l?nda Brugada karde?ler taraf?ndan tan?mlanm?? olan, ventriküler fibrilasyona ba?l? ani ?lüm riskinin artm?? oldu?u nadir bir genetik hastal?kt?r. Yap?sal kalp hastal??? olmayan ki?ilerde sa? dal blo?u, sa? prekordiyal (V1-V3) derivasyonlarda ST segment elevasyonu ile karakterizedir. Baz? ki?ilerde elektrokardiyografi (EKG) normal olup, ?zellikle sodyum kanal blokeri gibi provake edici ila?lar?n kullan?m? ile bulgular ortaya ??kabilir. Brugada Sendromlu hastalarda rejyonel anestezi deneyimleri olduk?a s?n?rl?d?r. Biz elektif artroskopik cerrahi ge?irecek Brugada Sendromlu bir hastada uygulanan rejyonel anestezi uygulamam?z? sunmay? ama?lad?k.