medigraphic.com
ISSN 2078-7170 (Electronic)

2015, Number 3

Next >>

CorSalud 2015; 7 (3)

Debate on the usefulness of ventricular stimulation for risk stratification in Brugada syndrome

Márquez MF, Cárdenas M

Language: Spanish
References: 18
Page: 158-160
PDF size: 223.86 Kb.


Text Extraction

The article by Dorantes and Trung, published in this issue of the journal CorSalud, provides an excellent review of a topic which, as they say, is still a matter of great controversy. It is worthwhile to do a brief historical commentary to properly situate the reader in this debate.
The now called Brugada syndrome was described in 1992 by two of the three Brugada brothers, Pedro and Josep. They managed to gather a series of 8 cases which, in their analysis, shared three characteristics: right bundle branch block, ST segment elevation and sudden death. Interestingly, the syndrome has been gradually defined along all these years. We now know, for example, that not all cases are associated with sudden death (the so-called “asymptomatic Brugada syndrome patients”), and that not all cases with the characteristic electrocardiographic pattern actually have the disease.


REFERENCES

  1. Dorantes M, Trung P. Estimulación eléctrica progra-mada del corazón en el síndrome de Brugada. Parte II: Variaciones sobre un mismo tema. CorSalud [In-ternet]. 2015 [citado 31 Jul 2015];7:202-13. Dispo-nible en: http://www.corsalud.sld.cu/sumario/2015/v7n3a15/eepc-brugada2.html

  2. Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation and sudden car-diac death: a distinct clinical and electrocardio-graphic syndrome. A multicenter report. J Am Coll Cardiol. 1992;20:1391-6.

  3. Baranchuk A, Nguyen T, Ryu MH, Femenía F, Zareba W, Wilde AA, Shimizu W, et al. Brugada phenocopy: new terminology and proposed classification. Ann Noninvasive Electrocardiol. 2012;17:299-314.

  4. Márquez MF, Bisteni A, Medrano G, De Micheli A, Guevara M, Iturralde P, et al. Dynamic electrocar-diographic changes after aborted sudden death in a patient with Brugada syndrome and rate-depend-ent right bundle branch block. J Electrocardiol. 2005;38:256-9.

  5. Peréz-Riera AR, Ferreira Filho C, de Abreu LC, Fe-rreira C, Yanowitz FG, Femenia F, et al. Do patients with electrocardiographic Brugada type 1 pattern have associated right bundle branch block? A comparative vectorcardiographic study. Europace. 2012;14:889-97.

  6. Aliot E, Clementy J, Prystowsky E. Fighting Sudden Cardiac Death. New York: Futura Publishing; 2000.

  7. Priori SG, Aliot E, Blomstrom-Lundqvist C, Bossaert L, Breithardt G, Brugada P, et al. Task Force on Sudden Cardiac Death of the European Society of Cardiology. Eur Heart J. 2001;22:1374-450.

  8. Nava A, Canciani B, ML S, Martini B, Buja G. La re-polarisation precocce dans les precordiales droites: trouble de la conduction intraventriculaire droite?

  9. Correlations de l’electrocardiographie-vectocardio-graphie avec l'electrophysiologie. Mises a Jour Car-diol. 1988;15:157-9.

  10. Martini B, Nava A, Thiene G, Buja GF, Canciani B, Scognamiglio R, et al. Ventricular fibrillation with-out apparent heart disease: description of six cases. Am Heart J. 1989;118:1203-9.

  11. 10.Martini B, Nava A, Canciani B, Thiene G. Right bun-dle branch block, persistent ST segment elevation and sudden cardiac death. J Am Coll Cardiol. 1993; 22:633.

  12. 11.Martini B, Wu J, Nava A. A rare lethal syndrome in search of its identity: Sudden death, right bundle branch block and ST segment elevation. En: Wu J, Wu J, eds. Sudden death: Causes, risk factors and prevention. Tampa, FL: Nova Biomedical; 2013. p. 2-39.

  13. 12.González-Hermosillo J, Marquez MF, Cárdenas M. Risk stratification for sudden cardiac death. USA: McGraw Hill; 2004.

  14. 13.Priori SG, Wilde AA, Horie M, Cho Y, Behr ER, Berul C, et al. HRS/EHRA/APHRS Expert Consensus State-ment on the Diagnosis and Management of Pa-tients with Inherited Primary Arrhythmia document endorsed by HRS, EHRA, and APHRS in May 2013 and by ACCF, AHA, PACES, and AEPC in June 2013. Hear Rhythm. 2013;10:1932-63.

  15. 14.Márquez MF, Salica G, Hermosillo AG, Pastelín G, Gómez-Flores J, Nava S, et al. Ionic basis of parma-cological therapy in Brugada syndrome. J Cardio-vasc Electrophysiol. 2007;18:234-40.

  16. 15.Márquez MF, Bonny A, Hernández-Castillo E, De Sisti A, Gómez-Flores J, Nava S, et al. Long-term efficacy of low doses of quinidine on malignant arrhythmias in Brugada syndrome with an implant-able cardioverter-defibrillator: a case series and lit-erature review. Heart Rhythm. 2012;9:1995-2000.

  17. 16.Viskin S, Antzelevitch C, Márquez MF, Belhassen B. Quinidine: a valuable medication joins the list of “endangered species”. Europace. 2007;9:1105-6.

  18. 17.Encarnación Roa C, Núñez Ayala E. Muerte Súbita Cardíaca. República Dominicana: CTO Editorial, SL; 2015.




2020     |     www.medigraphic.com