Brugada syndrome

Revision as of 03:59, 28 December 2014 by Rossdonaldson1 (talk | contribs)

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

Brugada.jpg

Disposition

  • Pt requires admission for AICD placement.

See Also

Source

  1. 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.