Brugada syndrome and syncope: a practical approach for diagnosis and treatment.

Brugada syndrome Electrophysiologic study Implantable cardioverter-defibrillator Implantable loop recorder Neurally mediated syncope Sudden death Syncope Tilt testing Ventricular fibrillation

Journal

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
ISSN: 1532-2092
Titre abrégé: Europace
Pays: England
ID NLM: 100883649

Informations de publication

Date de publication:
18 07 2021
Historique:
received: 26 08 2020
accepted: 17 11 2020
pubmed: 29 12 2020
medline: 10 8 2021
entrez: 28 12 2020
Statut: ppublish

Résumé

Syncope in patients with Brugada electrocardiogram pattern may represent a conundrum in the decision algorithm because incidental benign forms, especially neurally mediated syncope, are very frequent in this syndrome similarly to the general population. Arrhythmic syncope in Brugada syndrome typically results from a self-terminating sustained ventricular tachycardia or paroxysmal ventricular fibrillation, potentially leading to sudden cardiac death. Distinguishing syncope due to malignant arrhythmias from a benign form is often difficult unless an electrocardiogram is recorded during the episode. We performed a review of the existing literature and propose a practical approach for diagnosis and treatment of the patients with Brugada syndrome and syncope.

Identifiants

pubmed: 33367713
pii: 6053166
doi: 10.1093/europace/euaa370
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

996-1002

Informations de copyright

Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020. For permissions, please email: journals.permissions@oup.com.

Auteurs

Giuseppe Mascia (G)

Cardiovascular Disease Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Department of Internal Medicine, University of Genoa, Genova, Italy.

Roberta Della Bona (RD)

Cardiovascular Disease Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Department of Internal Medicine, University of Genoa, Genova, Italy.

Pietro Ameri (P)

Cardiovascular Disease Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Department of Internal Medicine, University of Genoa, Genova, Italy.

Marco Canepa (M)

Cardiovascular Disease Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Department of Internal Medicine, University of Genoa, Genova, Italy.

Italo Porto (I)

Cardiovascular Disease Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Department of Internal Medicine, University of Genoa, Genova, Italy.

Gianfranco Parati (G)

Department of Cardiovascular, Neural and Metabolic Sciences, Istituto Auxologico Italiano, IRCCS, San Luca Hospital, Milan, Italy.
Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.

Lia Crotti (L)

Department of Cardiovascular, Neural and Metabolic Sciences, Istituto Auxologico Italiano, IRCCS, San Luca Hospital, Milan, Italy.
Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Department of Cardiovascular, Neural and Metabolic Sciences, Istituto Auxologico Italiano, IRCCS, Center for Cardiac Arrhythmias of Genetic Origin, Milan, Italy.

Michele Brignole (M)

Department of Cardiovascular, Neural and Metabolic Sciences, Istituto Auxologico Italiano, IRCCS, San Luca Hospital, Milan, Italy.
Department of Cardiovascular, Neural and Metabolic Sciences, Istituto Auxologico Italiano, IRCCS, Faint & Fall Programme, Ospedale San Luca, Piazzale Brescia 20, 20149 Milan, Italy.
Department of Cardiology, Arrhythmologic Centre, Ospedali del Tigullio, Lavagna, Italy.

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Classifications MeSH