Última revisión: 3 Mar 2025
Última actualización: 19 Mar 2024
Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- past history of unexplained cardiac arrest or documented PMVT or VF
- cardiogenic syncope
Todos los datos
Otros factores de diagnóstico
- inducible features of Brugada syndrome
- atrial arrhythmias
- nocturnal agonal respirations
Todos los datos
Factores de riesgo
- age 30 to 50 years
- male sex
- Asian ancestry
- family history of BrS or suspicious or unexplained cardiac death
Todos los datos
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- ECG
- echocardiogram
Todos los datos
Pruebas diagnósticas que deben considerarse
- provocative drug testing with sodium channel blockade
- genetic testing for BrS
- advanced cardiac imaging (MRI or CT)
- invasive electrophysiological (EP) study with inducibility testing for ventricular arrhythmias
Todos los datos
Algoritmo de tratamiento
Inicial
with acute ventricular arrhythmia
Agudo
asymptomatic
symptomatic
Colaboradores
Autores
Eugene H Chung, MD, MPH
Professor of Internal Medicine
Director of Sports Electrophysiology Clinic
Massachusetts General Hospital
Harvard Medical School
Boston
MA
Divulgaciones
EHC declares that he has no competing interests.
Agradecimientos
Professor Eugene H Chung would like to gratefully acknowledge Dr Mohammed-Ali Jazayeri for his contribution to the initial drafts of this topic.
Divulgaciones
MAJ declares that he has no competing interests.
Revisores por pares
Sei Iwai, MD
Section Chief, Cardiac Electrophysiology
Department of Cardiology
Westchester Medical Center Health Network
Valhalla
NY
Divulgaciones
SI declares that he has no competing interests.
Amanda Varnava, MA(Hons), MD, FRCP
Consultant Cardiologist
Imperial College Healthcare Trust
London
UK
Divulgaciones
AV declares that she has no competing interests.
Diferenciales
- Acute coronary syndrome
- Arrhythmogenic cardiomyopathy
- Athlete’s heart
Más DiferencialesGuías de práctica clínica
- 2022 ESC guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death
- 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death
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