Brugada syndrome diagnostic criteria: Difference between revisions

Jump to navigation Jump to search
No edit summary
 
(28 intermediate revisions by 6 users not shown)
Line 1: Line 1:
__NOTOC__
{{Brugada syndrome}}
{{Brugada syndrome}}
{{CMG}}
{{CMG}} {{AE}} {{S.G.}}


==Overview==
==Overview==
The diagnosis of brugada syndrome is based upon electrocardiographic and clinical criteria.
The [[diagnosis]] of brugada syndrome is based upon [[Electrocardiogram|electrocardiographic]] and [[clinical]] [[criteria]]. Only the Type I Brugada pattern qualifies as part of the [[Diagnosis|diagnostic]] [[criteria]] for Brugada syndrome. Other [[rhythm]] [[abnormalities]] and [[family]] history are taken into account when making the [[diagnosis]] of Brugada syndrome.


==Diagnostic criteria==
==Diagnostic Criteria==
 
*Only the Type I Brugada pattern qualifies as one of the required diagnostic criteria of Brugada syndrome.  Type II and Type III EKG patterns do not qualify. Furthermore, the presence of the Type I Brugada pattern is necessary, but is not sufficient to make the [[diagnosis]] of Brugada syndrome.  Other [[clinical]] [[criteria]] must be met as well.  The [[diagnosis]] of Brugada syndrome requires that the [[criteria]] below be met:<ref>{{cite journal|title=Brugada Syndrome: Report of the Second Consensus Conference|journal=Heart Rhythm|volume=2|issue=4|year=2005|pages=429–440|issn=15475271|doi=10.1016/j.hrthm.2005.01.005}}</ref><ref name="Batchvarov2014">{{cite journal|last1=Batchvarov|first1=Velislav N|title=The Brugada Syndrome – Diagnosis, Clinical Implications and Risk Stratification|journal=European Cardiology Review|volume=9|issue=2|year=2014|pages=82|issn=1758-3756|doi=10.15420/ecr.2014.9.2.82}}</ref><ref name="Antzelevitch2006">{{cite journal|last1=Antzelevitch|first1=Charles|title=Brugada Syndrome|journal=Pacing and Clinical Electrophysiology|volume=29|issue=10|year=2006|pages=1130–1159|issn=0147-8389|doi=10.1111/j.1540-8159.2006.00507.x}}</ref>
#The presence of Type 1 ST-segment elevation in more than one right precordial lead (<sub>V</sub>1-V<sub>3</sub>).  Type I ST elevation can be observed either spontaneously or following the administration of a sodium channel blocking agent.
**The presence of Type 1 [[ST-segment elevation]] in more than one right [[precordial]] lead (V<sub>1</sub>-V<sub>3</sub>).  Type I Brugada pattern [[ST interval|ST]] [[elevation]] must be observed either spontaneously or following the administration of a [[sodium]] [[Channel blockers|channel blocking]] agent.
#One or more of the following criteria must also be met:  
**One or more of the following [[Criterion|criteria]] must also be met:  
:* Family history of [[sudden cardiac death]] ([[SCD]]) (<45 years old)
***[[Family history]] of [[sudden cardiac death]] ([[SCD]]) (<45 years old)
:* Documented [[ventricular fibrillation]] ([[VF]])
***Documented [[ventricular fibrillation]] ([[VF]])
:* [[Polymorphic ventricular tachycardia]]
***[[Polymorphic ventricular tachycardia]]
:* 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)
# The diagnosis is also considered positive 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 can be converted to the diagnostic Type 1 pattern occurs upon exposure to a [[sodium channel blocker]].
**The [[patient]] is also diagnosed as having Brugada syndrome when a Type 2 (saddleback pattern) or Type 3 [[ST interval|ST-segment]] elevation is observed in more than one right [[precordial]] lead under baseline conditions that can be converted to the [[diagnostic]] Type 1 Brugada [[pattern]] following administration of a [[sodium]] [[Channel blockers|channel blocker]] and the [[clinical]] [[criteria]] listed above are met as well.


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


{{WH}}
{{WS}}
[[CME Category::Cardiology]]
[[Category:Electrophysiology]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Electrophysiology]]
[[Category:Channelopathy]]
[[Category:Genetic disorders]]

Latest revision as of 21:53, 2 January 2020

Brugada syndrome Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Differentiating Brugada syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Examples of Type I Brugada Syndrome

Chest X Ray

Echocardiography or Ultrasound

Electrophysiologic Studies

Genetic Testing

Treatment

Treatment

Drugs to Avoid

Drugs to Preferably Avoid

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Brugada syndrome diagnostic criteria On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Brugada syndrome diagnostic criteria

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Brugada syndrome diagnostic criteria

CDC on Brugada syndrome diagnostic criteria

Brugada syndrome diagnostic criteria in the news

Blogs on Brugada syndrome diagnostic criteria

Directions to Hospitals Treating Brugada syndrome

Risk calculators and risk factors for Brugada syndrome diagnostic criteria

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sogand Goudarzi, MD [2]

Overview

The diagnosis of brugada syndrome is based upon electrocardiographic and clinical criteria. Only the Type I Brugada pattern qualifies as part of the diagnostic criteria for Brugada syndrome. Other rhythm abnormalities and family history are taken into account when making the diagnosis of Brugada syndrome.

Diagnostic Criteria

References

  1. "Brugada Syndrome: Report of the Second Consensus Conference". Heart Rhythm. 2 (4): 429–440. 2005. doi:10.1016/j.hrthm.2005.01.005. ISSN 1547-5271.
  2. Batchvarov, Velislav N (2014). "The Brugada Syndrome – Diagnosis, Clinical Implications and Risk Stratification". European Cardiology Review. 9 (2): 82. doi:10.15420/ecr.2014.9.2.82. ISSN 1758-3756.
  3. Antzelevitch, Charles (2006). "Brugada Syndrome". Pacing and Clinical Electrophysiology. 29 (10): 1130–1159. doi:10.1111/j.1540-8159.2006.00507.x. ISSN 0147-8389.

Template:WH Template:WS CME Category::Cardiology