Update on Brugada Syndrome 2019

Coppola Giuseppe, Corrado Egle, Curnis Antonio, Maglia Giampiero, Oriente Domenico, Mignano Antonino, Pedro Brugada

Research output: Contribution to journalScientific review

7 Citations (Scopus)

Abstract

Brugada syndrome (BrS) was first described in 1992 as an aberrant pattern of ST segment elevation in right precordial leads with a high incidence of sudden cardiac death (SCD) in patients with structurally normal heart. It represents 4% ∼ 12% of all SCD and 20% of SCD in patients with structurally normal heart. The extremely wide genetic heterogeneity of BrS and other inherited cardiac disorders makes this new area of genetic arrhytmology a fascinating one. This review shows the state of art in diagnosis, management, and treatment of BrS focusing all the aspects regarding genetics and Preimplant Genetic Diagnosis (PGD) of embryos, overlapping syndromes, risk stratification, familial screening, and future perspectives. Moreover the review analyzes key points like electrocardiogram (ECG) criteria, the role of electrophysiological study (the role of ventricular programmed stimulation and the need of universal accepted protocol) and the importance of a correct risk stratification to clarify when implantable cardioverter defibrillator or a close follow-up is needed. In recent years, cardiovascular studies have been focused on personalized risk assessment and to determine the most optimal therapy for an individual. The BrS syndrome has also benefited of these advances although there remain several key points to be elucidated. We will review the present knowledge, progress made, and future research directions on BrS.

Original languageEnglish
Article number100454
JournalCurrent Problems in Cardiology
Volume46
Issue number3
Early online date23 Aug 2019
DOIs
Publication statusPublished - Mar 2021

Bibliographical note

Copyright © 2019 Elsevier Inc. All rights reserved.

Keywords

  • Brugada syndrome
  • sudden cardiac death
  • high incidence

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