Risk Stratification in Brugada Syndrome: Role of Programmed Electrical Stimulation
نویسنده
چکیده
Brugada syndrome (BS) is an arrhythmogenic disease characterized by a typical electrocardiographic finding (type 1 Brugada electrocardiogram [ECG]) and an increased risk for sudden cardiac death (SCD) due to polymorphic ventricular tachycardia or ventricular fibrillation (VF). Risk stratification remains a challenge, especially in cases without documented cardiac arrest or VF. The role of programmed electrical stimulation (PES) for risk stratification remains controversial. Therefore, the present review describes the recent published data on the use of PES in the identification of high-risk patients and discusses the value of PES for risk assessment in BS. Risk Stratification in Brugada Syndrome: Role of Programmed Electrical Stimulation
منابع مشابه
The Brugada syndrome.
PURPOSE OF REVIEW The Brugada syndrome has been an area of intensive investigation since its earliest description in 1992, both on a clinical and on a basic research level. In this review, we will focus on recent achievements in the molecular dissection of the disease pathophysiology and on large multicenter studies dealing with prognostic markers and the natural history of the Brugada syndrome...
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Background: Brugada syndrome (BrS) is an inherited channelopathy, which is associated with sudden cardiac death due to rapid polymorphic VT or VF. There is no definite consensus regarding the management of asymptomatic patients. Some experts advocate close follow-up; others propose the programmed stimulation for risk stratification. We aimed to evaluate the benefit of complete atrial and ventri...
متن کاملArrhythmic Risk Stratification by Programmed Ventricular Stimulation in Brugada Syndrome The End of the Debate ?
One of the most controversial issues debated by cardiac electrophysiologists during the past decade has been whether programmed ventricular stimulation (PVS) plays any role in the arrhythmic risk stratification of the Brugada syndrome (BrS). The results of the multicenter study published in 2003 by the Brugada brothers were unequivocal. In a study involving 408 BrS individuals with no previous ...
متن کاملArrhythmic Risk Stratification by Programmed Ventricular Stimulation in Brugada Syndrome
One of the most controversial issues debated by cardiac electrophysiologists during the past decade has been whether programmed ventricular stimulation (PVS) plays any role in the arrhythmic risk stratification of the Brugada syndrome (BrS). The results of the multicenter study published in 2003 by the Brugada brothers were unequivocal. In a study involving 408 BrS individuals with no previous ...
متن کاملMalignant ventricular arrhythmias induction by programmed electrical stimulation of the right ventricular outflow tract only during type 1 Brugada ECG maximization.
OBJECTIVE The role of electrophysiology study in Brugada syndrome (BS) sudden cardiac death risk stratification remains controversial and seems to depend on the phenotypic expression of the channelopathy. Ajmaline has a key role in the diagnosis of BS. We observed that programmed electrical stimulation (PES) of the right ventricular outflow tract (RVOT), only when type 1 BS ECG is unmasked by a...
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تاریخ انتشار 2013