Brugada syndrome physical examination: Difference between revisions

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{{Brugada syndrome}}
{{Brugada syndrome}}
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{{CMG}} {{AE}} {{S.G.}}


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==Overview==
==Overview==
Insofar as Brugada syndrome is not associated with any structural heart disease, there are generally no abnormalities on physical examination. [[Vagal maneuvers]] such as [[carotid sinus massage]] may increase vagal tone and may unmask the presence of a Type I Brugada pattern. In a patient who has experienced recent symptoms such as syncope, it is important to check the temperature in so far as fever may trigger a self terminating or sustained episode of [[ventricular tachycardia]] / [[ventricular fibrillation]]. The presence of fever is also a target of antipyretic therapy.
[[Patients]] with Brugada syndrome usually appear usually normal. [[Physical examination]] of [[patients]] with Brugada syndrome is usually remarkable by [[vagal maneuvers]] such as [[carotid sinus massage]] may increase [[vagal]] tone and may unmask the presence of a Type I Brugada pattern.
 
The presence of recent [[symptoms]] such as [[syncope]], it is important to check the temperature in so far as [[fever]] may trigger a self terminating or sustained episode of [[ventricular tachycardia]] / [[ventricular fibrillation]]. The presence of [[fever]] is also a target of [[Antipyretic|antipyretic therap]]<nowiki/>y on [[physical examination]] is highly suggestive of Brugada syndrome.
 
==Physical Examination==
 
*[[Patients]] with Brugada syndrome usually appear usually normal. [[Physical examination]] of [[patients]] with Brugada syndrome is usually remarkable by [[vagal maneuvers]] such as [[carotid sinus massage]] may increase [[vagal]] tone and may unmask the presence of a Type I Brugada pattern.<ref name="CrossonHanash20102">{{cite journal|last1=Crosson|first1=JaneE|last2=Hanash|first2=CarlaR|title=Emergency diagnosis and management of pediatric arrhythmias|journal=Journal of Emergencies, Trauma, and Shock|volume=3|issue=3|year=2010|pages=251|issn=0974-2700|doi=10.4103/0974-2700.66525}}</ref>
 
*<nowiki/>The presence of recent [[symptoms]] such as [[syncope]], it is important to check the temperature in so far as [[fever]] may trigger a self terminating or sustained episode of [[ventricular tachycardia]] / [[ventricular fibrillation]]. The presence of [[fever]] is also a target of [[Antipyretic|antipyretic therap]]<nowiki/>y on [[physical examination]] is highly suggestive of Brugada syndrome.<ref name="Al-KhatibStevenson2018">{{cite journal|last1=Al-Khatib|first1=Sana M.|last2=Stevenson|first2=William G.|last3=Ackerman|first3=Michael J.|last4=Bryant|first4=William J.|last5=Callans|first5=David J.|last6=Curtis|first6=Anne B.|last7=Deal|first7=Barbara J.|last8=Dickfeld|first8=Timm|last9=Field|first9=Michael E.|last10=Fonarow|first10=Gregg C.|last11=Gillis|first11=Anne M.|last12=Granger|first12=Christopher B.|last13=Hammill|first13=Stephen C.|last14=Hlatky|first14=Mark A.|last15=Joglar|first15=José A.|last16=Kay|first16=G. Neal|last17=Matlock|first17=Daniel D.|last18=Myerburg|first18=Robert J.|last19=Page|first19=Richard L.|title=2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death|journal=Circulation|volume=138|issue=13|year=2018|issn=0009-7322|doi=10.1161/CIR.0000000000000549}}</ref>
 
=== Heart ===
 
*[[Cardiovascular]] [[Physical examination|examination]] is required to rule out other possible [[Sudden cardiac death|cardiac]] causes of [[syncope]].<ref name="Arnar2013">{{cite journal|last1=Arnar|first1=David O.|title=Syncope in patients with structural heart disease|journal=Journal of Internal Medicine|volume=273|issue=4|year=2013|pages=336–344|issn=09546820|doi=10.1111/joim.12027}}</ref>
**[[Heart murmur|Heart murmurs]] from [[Hypertrophy (medical)|hypertrophic]] [[cardiomyopathy]]
**[[Valvular heart disease|Valvular]] or [[septal defect]]
 
 


==References==
==References==
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[[CME Category::Cardiology]]
[[CME Category::Cardiology|CME Category::]]<nowiki/>[[CME Category::Cardiology|Cardiology]]


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[[Category:Needs content]]

Latest revision as of 16:32, 13 January 2020

Brugada syndrome Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Differentiating Brugada syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Examples of Type I Brugada Syndrome

Chest X Ray

Echocardiography or Ultrasound

Electrophysiologic Studies

Genetic Testing

Treatment

Treatment

Drugs to Avoid

Drugs to Preferably Avoid

Cost-Effectiveness of Therapy

Future or Investigational Therapies

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sogand Goudarzi, MD [2]

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Overview

Patients with Brugada syndrome usually appear usually normal. Physical examination of patients with Brugada syndrome is usually remarkable by vagal maneuvers such as carotid sinus massage may increase vagal tone and may unmask the presence of a Type I Brugada pattern.

The presence of recent symptoms such as syncope, it is important to check the temperature in so far as fever may trigger a self terminating or sustained episode of ventricular tachycardia / ventricular fibrillation. The presence of fever is also a target of antipyretic therapy on physical examination is highly suggestive of Brugada syndrome.

Physical Examination

Heart


References

  1. Crosson, JaneE; Hanash, CarlaR (2010). "Emergency diagnosis and management of pediatric arrhythmias". Journal of Emergencies, Trauma, and Shock. 3 (3): 251. doi:10.4103/0974-2700.66525. ISSN 0974-2700.
  2. Al-Khatib, Sana M.; Stevenson, William G.; Ackerman, Michael J.; Bryant, William J.; Callans, David J.; Curtis, Anne B.; Deal, Barbara J.; Dickfeld, Timm; Field, Michael E.; Fonarow, Gregg C.; Gillis, Anne M.; Granger, Christopher B.; Hammill, Stephen C.; Hlatky, Mark A.; Joglar, José A.; Kay, G. Neal; Matlock, Daniel D.; Myerburg, Robert J.; Page, Richard L. (2018). "2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death". Circulation. 138 (13). doi:10.1161/CIR.0000000000000549. ISSN 0009-7322.
  3. Arnar, David O. (2013). "Syncope in patients with structural heart disease". Journal of Internal Medicine. 273 (4): 336–344. doi:10.1111/joim.12027. ISSN 0954-6820.

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