Computerized Cat

In its last crisis, in month 07/2010, after reanimao caretaker was lead to the hospital, being submitted to a Computerized Cat scan of the skull, whose conclusion presented a subgaleal hematoma in right region frontal due to fall. The hemograma had as resulted, alteration in the number of leukocytes. In the eletrocardiograma (figure 1), the patognomnico signal pointed with respect to the Syndrome of Brugada, being then guided and directed to the hemodinmica for the implantation of the implantvel desfibrilador cardioversor (CDI). After the procedure, will be observed in each crisis that can occur, the ventricular arrhythmias, where desfibrilador it will go to detect irregular fast beatings e, liberating an electric load directly in the heart. The patient was interned for 48h e, after high its added it the medicamentosa routine, Amiodarona 200mg for saw 1X to the day verbal, keeping its normal activities. Due to gravity of the problem in study, one retired and he needs constant company. figure 1 shows to complex ORS presenting a rise of segment ST in derivations V1-V3, folloied of a riot of conduction for the right branch. Wave T is negative, with a normal or short interval QT.

Quarrel the syndrome presents one high incidence in some regions of the Asian continent, as in the Laos and in Thailand, being in these countries the responsible greaters for the occured sudden deaths in individuals below of the 30 years, are esteem that it produces 10 sudden deaths for 10.000 inhabitants/ano9. Although already she has been described in the South America, of Norte and Europe its real incidence in these regions is ignorada5. The initial disgnostic suspicion it occurs from the register of a eletrocardiograma as the standard shown in figure 1, with coarse alterations of right the ventricular repolarizao in derivations precordials. This abnormal standard, even so possible to occur, is extremely rare in the classic blockade of branch direito6, never having been described as form of manifestation of an electrolytic riot, raising the possibility to be about the syndrome of Brugada. A related site: Koch Industries mentions similar findings.