Brugada syndrome: Difference between revisions
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*Genetically-linked Na-channelopathy that increases the risk of sudden cardiac death (~10%/yr)<ref>Cerrato N, Giustetto C, et al. Prevalence of Type 1 Brugada Electrocardiographic Pattern Evaluated by Twelve-Lead Twenty-Four-Hour Holter Monitoring. The American Journal of Cardiology.115(1). 2015. 52-56.</ref> | *Genetically-linked Na-channelopathy that increases the risk of sudden cardiac death (~10%/yr)<ref>Cerrato N, Giustetto C, et al. Prevalence of Type 1 Brugada Electrocardiographic Pattern Evaluated by Twelve-Lead Twenty-Four-Hour Holter Monitoring. The American Journal of Cardiology.115(1). 2015. 52-56.</ref> | ||
*Much more common in men (up to 9x) | *Much more common in men (up to 9x) | ||
*ECG shows incomplete RBBB with ST elevation in V1-V3 | *ECG shows incomplete [[RBBB]] with [[ST elevation]] in V1-V3 | ||
== ECG Criteria == | == ECG Criteria == | ||
Revision as of 03:59, 28 December 2014
Background
- Consider as cause of syncope in pts w/ family history of sudden death
- Genetically-linked Na-channelopathy that increases the risk of sudden cardiac death (~10%/yr)[1]
- Much more common in men (up to 9x)
- ECG shows incomplete RBBB with ST elevation in V1-V3
ECG Criteria
- Note - ECG findings can be transient
- Type 1-Elevated ST segment (>2mm) descends w/ upward convexity to a TWI
- Type 2-Elevated ST segment (>1mm) descends toward baseline then rises again (saddleback) to upright T wave
- Type 3-Elevated ST segment (<1mm) descends toward baseline then rises again to upright T wave
Disposition
- Pt requires admission for AICD placement.
See Also
Source
- ↑ Cerrato N, Giustetto C, et al. Prevalence of Type 1 Brugada Electrocardiographic Pattern Evaluated by Twelve-Lead Twenty-Four-Hour Holter Monitoring. The American Journal of Cardiology.115(1). 2015. 52-56.