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
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.