Brugada Syndrome

Brugada Syndrome is an uncommon entity, that can mimic STEMI, has a high rate of sudden cardiac death, and currently ICD placement is the best treatment strategy - Salim Rezaie MD

Brugada Syndrome
Brugada Syndrome

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Electrocardiograms You Need to Know: Brugada Syndrome

BS is a potentially important but not yet well defined entity that should be on the ED radar, but confirming the diagnosis is difficult. Most of the literature regarding this abnormality surfaced within the past seven years or so, making it a new syndrome. Brugada syndrome is one zebra that most EPs have never heard about, don't look for, and like the rest of the world, don't currently understand. Perhaps the takeaway message is to look specifically for an atypical right bundle branch block on the cardiogram, coupled with curiously elevated ST segment in V1-V3, in someone with syncope, palpitations, supraventricular arrhythmias, or after surviving cardiac arrest. If fortuitously noted in the…

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 Electrocardiograms You Need to Know: Brugada Syndrome

Current consensus is that isolated EKG findings are termed “Brugada pattern,” and one must manifest other criteria to garner the moniker of a bona fide Brugada syndrome. The pathology in BS seems to be polymorphic VT that degenerates into VT or cardiac arrest. VT would be obvious, but BS can be silent unless provoked. is a non-profit initiative developed by physicians from the University of Amsterdam Academic Medical Center, department of Cardiology, in collaboration with a panel of world-renowned experts on Brugada syndrome as an aid to physicians who treat patients with Brugada syndrome and as an aid to patients with Brugada syndrome and their families with the goal to provide free, worldwide accessible and up-to-date information on safe drug use in Brugada syndrome.

Core EM

An inherited disorder that predisposes patients to sudden cardiac death by ventricular arrhythmia that is characterized by the following EKG pattern: ST segment elevation with Type 1 Brugada morphology ≥ 2mm in ≥ 1 of the right precordial leads (V1 or V2), spontaneously or after provocative test with intravenous class I anti-arrhythmic medication Type 1 Brugada morphology defined as cove-shaped ST segment elevation ≥ 2mm followed by inverted T wave

The Brugada syndrome is an hereditary disease that is associated with high risk of sudden cardiac death. It is characterized by typical ECG abnormalities: ST segment elevation in the precordial leads (V1 - V3).

Life in the Fastlane

Coved ST segment elevation >2mm in >1 of V1-V3 followed by a negative T wave. This is the only ECG abnormality that is potentially diagnostic. It is often referred to as Brugada sign.

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