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    Brugada Syndrome

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    cyelz
    Brugada Syndrome is a genetically linked cardiac sodium channelopathy that causes a high risk of sudden death from ventricular tachycardia or fibrillation in otherwise healthy young adults, with a mean age of sudden death of 41 years. It is more prevalent in males and those of Asian descent, and can be associated with atrial fibrillation in 10-20% of cases. An implantable cardiac defibrillator is recommended for those with Type 1 EKG patterns who have experienced aborted sudden cardiac death, unexplained syncope or seizures, or have a family history of sudden cardiac death along with a positive electrophysiological study.

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    Brugada Syndrome

    Uploaded by

    cyelz
    533 views1 page
    Brugada Syndrome is a genetically linked cardiac sodium channelopathy that causes a high risk of sudden death from ventricular tachycardia or fibrillation in otherwise healthy young adults, with a mean age of sudden death of 41 years. It is more prevalent in males and those of Asian descent, and can be associated with atrial fibrillation in 10-20% of cases. An implantable cardiac defibrillator is recommended for those with Type 1 EKG patterns who have experienced aborted sudden cardiac death, unexplained syncope or seizures, or have a family history of sudden cardiac death along with a positive electrophysiological study.

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    Source: http://academiclifeinem.blogspot.com/2011/05/paucis-verbis-brugada-syndrome.html

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    Brugada Syndrome is a genetically linked cardiac sodium channelopathy that causes a high risk of sudden death from ventricular tachycardia or fibrillation in otherwise healthy young adults, with a mean age of sudden death of 41 years. It is more prevalent in males and those of Asian descent, and can be associated with atrial fibrillation in 10-20% of cases. An implantable cardiac defibrillator is recommended for those with Type 1 EKG patterns who have experienced aborted sudden cardiac death, unexplained syncope or seizures, or have a family history of sudden cardiac death along with a positive electrophysiological study.

    Copyright:

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    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    533 views1 page

    Brugada Syndrome

    Uploaded by

    cyelz
    Brugada Syndrome is a genetically linked cardiac sodium channelopathy that causes a high risk of sudden death from ventricular tachycardia or fibrillation in otherwise healthy young adults, with a mean age of sudden death of 41 years. It is more prevalent in males and those of Asian descent, and can be associated with atrial fibrillation in 10-20% of cases. An implantable cardiac defibrillator is recommended for those with Type 1 EKG patterns who have experienced aborted sudden cardiac death, unexplained syncope or seizures, or have a family history of sudden cardiac death along with a positive electrophysiological study.

    Copyright:

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    Download as PDF, TXT or read online from Scribd
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    Brugada Syndrome

    Antzelevitch C et al. Brugada Syndrome: Report of the Second Consensus Conference. Circulation. 2005; 111:659-670. Genetically linked, cardiac sodium channelopathy High risk for sudden death in young, healthy adults because VTach/VFib Mean age of sudden death = 41 15 years Higher prevalence in males and Asian descent Atrial fibrillation associated in 10-20% cases EKG findings: 3 types Type 1 Most specific for Brugada Syndrome Highest risk for symptoms of syncope and sudden death

    Differential diagnosis: After electrical cardioversion Arrhythmogenic RV dysplasia Atypical right BBB Acute MI, esp RV infarct Acute myopericarditis Compression of RV outflow tract Disorders of central/auton nerv systems Dissecting aortic aneurysm Duchenne muscular dystrophy

    Friedreich ataxia Early repolarization, especially in athletes Hypothermia Pericardial effusion Pulmonary embolism Left ventricular hypertrophy Mediastinal tumor Pectus excavatum

    Treatment: Implantable cardiac defibrillator for Brugada Type 1 PLUS: Aborted sudden cardiac death Syncope, seizure, or noctural agonal respirations without alternative cause Family hx of sudden cardiac death (likely from Brugada) AND positive EPS study A positive EPS study -- Otherwise: close followup with cardiologist

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