Brugada syndrome diagnostic criteria: Difference between revisions
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:* Coved-type ECG changes in family members | :* Coved-type ECG changes in family members | ||
:* Inducibility of [[ventricular tachycardia]] ([[VT]]) with programmed electrical stimulation (PES) | :* Inducibility of [[ventricular tachycardia]] ([[VT]]) with programmed electrical stimulation (PES) | ||
3. The patient is also diagnosed as having Brugada syndrome 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 that can be converted to the diagnostic Type 1 pattern following administration of a [[sodium channel blocker]]. | :3. The patient is also diagnosed as having Brugada syndrome 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 that can be converted to the diagnostic Type 1 pattern following administration of a [[sodium channel blocker]]. | ||
==References== | ==References== | ||
Revision as of 14:19, 14 October 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The diagnosis of brugada syndrome is based upon electrocardiographic and clinical criteria.
Diagnostic criteria[1]
- The presence of Type 1 ST-segment elevation in more than one right precordial lead (V1-V3). Type I ST elevation can be observed either spontaneously or following the administration of a sodium channel blocking agent.
- One or more of the following criteria must also be met:
- Family history of sudden cardiac death (SCD) (<45 years old)
- Documented ventricular fibrillation (VF)
- Polymorphic ventricular tachycardia
- Coved-type ECG changes in family members
- Inducibility of ventricular tachycardia (VT) with programmed electrical stimulation (PES)
- 3. The patient is also diagnosed as having Brugada syndrome 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 that can be converted to the diagnostic Type 1 pattern following administration of a sodium channel blocker.
References
- ↑ Antzelevitch C, Brugada P, Borggrefe M, Brugada J, Brugada R, Corrado D, Gussak I, LeMarec H, Nademanee K, Perez Riera AR, Shimizu W, Schulze-Bahr E, Tan H, Wilde A (2005). "Brugada syndrome: report of the second consensus conference". Heart Rhythm : the Official Journal of the Heart Rhythm Society. 2 (4): 429–40. PMID 15898165. Unknown parameter
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