Brugada syndrome diagnostic criteria: Difference between revisions
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The diagnosis of brugada syndrome is based upon electrocardiographic and clinical criteria. | The diagnosis of brugada syndrome is based upon electrocardiographic and clinical criteria. | ||
==Diagnostic criteria== | ==Diagnostic criteria<ref name="pmid15898165">{{cite journal |author=Antzelevitch C, Brugada P, Borggrefe M, Brugada J, Brugada R, Corrado D, Gussak I, LeMarec H, Nademanee K, Perez Riera AR, Shimizu W, Schulze-Bahr E, Tan H, Wilde A |title=Brugada syndrome: report of the second consensus conference |journal=[[Heart Rhythm : the Official Journal of the Heart Rhythm Society]] |volume=2 |issue=4 |pages=429–40 |year=2005 |month=April |pmid=15898165 |doi= |url= |issn= |accessdate=2012-10-14}}</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 (<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. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The diagnosis of brugada syndrome is based upon electrocardiographic and clinical criteria.
Diagnostic criteria[1]
- The presence of Type 1 ST-segment elevation in more than one right precordial lead (V1-V3). Type I ST elevation can be observed either spontaneously or following the administration of a sodium channel blocking agent.
- One or more of the following criteria must also be met:
- Family history of sudden cardiac death (SCD) (<45 years old)
- Documented ventricular fibrillation (VF)
- Polymorphic ventricular tachycardia
- Coved-type ECG changes in family members
- Inducibility of ventricular tachycardia (VT) with programmed electrical stimulation (PES)
3. The patient is also diagnosed as having Brugada syndrome 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 that can be converted to the diagnostic Type 1 pattern following administration of a sodium channel blocker.
References
- ↑ Antzelevitch C, Brugada P, Borggrefe M, Brugada J, Brugada R, Corrado D, Gussak I, LeMarec H, Nademanee K, Perez Riera AR, Shimizu W, Schulze-Bahr E, Tan H, Wilde A (2005). "Brugada syndrome: report of the second consensus conference". Heart Rhythm : the Official Journal of the Heart Rhythm Society. 2 (4): 429–40. PMID 15898165. Unknown parameter
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