Brugada syndrome history and symptoms: Difference between revisions
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Revision as of 04:55, 31 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History and Symptoms
- Brugada syndrome is diagnosed when a Type 1 ST-segment elevation is observed in more than one right precordial lead (V1-V3), in the presence or absence of sodium channel blocking agent, and in conjunction with one or more of the following:
- Family history of SCD (<45 years old)
- Documented VF
- Polymorphic ventricular tachycardia
- Coved-type ECGs in family members
- Inducibility of VT with programmed electrical stimulation (PES)
- Syncope
- Nocturnal agonal respiration
- Diagnosis is also considered positive when a Type 2 (saddleback pattern) or Type 3 ST-segment elevation is observed in more than one right precordial lead under baseline conditions and can be converted to the diagnostic Type 1 pattern occurs upon exposure to sodium channel blocker.