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Brugada syndrome

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.

  • Brugada syndrome images
  • Diferenciales

    • Acute coronary syndrome
    • Arrhythmogenic cardiomyopathy
    • Athlete’s heart
    Más Diferenciales
  • Guías 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
    Más Guías de práctica clínica
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