Brugada syndrome: Difference between revisions
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== Pathophysiology == | == Pathophysiology == | ||
*Genetically-linked Na channelopathy | *Genetically-linked Na-channelopathy | ||
**Incomplete RBBB with ST elevation in V1-V3 | **Incomplete RBBB with ST elevation in V1-V3 | ||
**Increased risk of sudden cardiac death | **Increased risk of sudden cardiac death | ||
Revision as of 19:06, 10 September 2011
Pathophysiology
- Genetically-linked Na-channelopathy
- Incomplete RBBB with ST elevation in V1-V3
- Increased risk of sudden cardiac death
- ~10%/yr
- Much more common in men (up to 9x)
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
- Pts need an AICD
Source
- UpToDate