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2002, Number S1

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Arch Cardiol Mex 2002; 72 (S1)

The brugada syndrome

Guevara VME

Language: Spanish
References: 8
Page: 80-85
PDF size: 187.30 Kb.


ABSTRACT

The Brugada syndrome is an arrhythmic syndrome characterized by a right bundle branch block pattern and an segment elevation in the right precordial leads of the electrocardiogram, in conjunction with a high incidence of sudden death secondary to ventricular tachyarrhythmias. No evidence of structural heart disease is noted during diagnostic evaluation of these patients. The prognosis is poor with up to a 10 per year mortality. Antiarrhythmic drugs have no benefit in prolonging survival. The treatment of choice is the insertion of an implantable cardioverter defibrillator.


REFERENCES

  1. Brugada J, Brugada P, Brugada R: El síndrome de Brygada y las miocardiopatías derechas como causa de muerte súbita. Diferencias y similitudes. Rev Esp Cardiol 2000; 53: 275-285.

  2. Brugada R, Brugada J, Antzelevitch A, Kirsch GE, Potenza D, Towbin J, Brugada P: Sodium channel blockers identify risk for sudden death in patients with ST segment elevalion and righ bundle branch block but structurally normal hearts. Circulation 2000; 101: 510-515.

  3. Guevara VME, Iturralde TP, de Micheli A, Colin LL, Medeiros DA, González HJA: Alteraciones electrocardiográficas durante el esfuerzo en un paciente con “Síndrome de Brugada”. Arch Cardiol Mex 2001; 71: 66-72.

  4. Antzelevitch C: The Brugada syndrome: Ionic basis and arrhythmia mechanisms. J Cardiovasc Electrophysiol 2001; 12: 268-282.

  5. Priori S, Napolitano C, Giordano U, Collisani G, Memmi M: Brugada syndrome and sudden cardiac death in children. Lancet 2000; 355: 808-809.

  6. Brugada J, Brugada P, Brugada R: The syndrome of right bundle branch block, ST segment elevation in V1 to V3 and sudden death the Brugada syndrome. Europace 1999; 1: 156-166.

  7. Prieto-Solís JA, Martín-Durán A: Múltiples cambios en la morfología del segmento ST en un paciente con síndrome de Brugada. Rev Esp Cardiol 2000; 53: 136-138.

  8. Asensio E, Álvarez B, Lozano E, Farías AV, Brugada R, Brugada P, et al: Elevación del segmento ST, bloqueo de rama derecha y muerte súbita: Síndrome de Brugada. Arch Inst Cardiol Mex 2000; 70: 301-311.




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