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Brugada syndrome (BrS) is a genetic disorder in which the electrical activity of the heart is abnormal due to channelopathy. [2] It increases the risk of abnormal heart rhythms and sudden cardiac death. [2] Those affected may have episodes of syncope. [2] The abnormal heart rhythms seen in those with Brugada syndrome often occur at rest.
ECG pattern in Brugada syndrome. According to recent consensus document (ref 13), type 1 ST segment elevation either spontaneously present or induced with Ajmaline/Flecainide test is considered diagnostic. Type 1 and 2 may lead to suspicion but drug challenge is required for diagnosis.
A type of a deadly ventricular arrhythmia - Ventricular fibrillation pattern seen on an ECG: Specialty: Cardiology Causes: Ion channelopathies: Long QT syndrome (LQTS), Brugada syndrome, CPVT (catecholaminergic polymorphic ventricular tachycardia), PCCD (progressive cardiac conduction defect), Early repolarization syndrome, Mixed sodium channel ...
Those affected by arrhythmogenic cardiomyopathy may not have any symptoms at all despite having significant abnormalities in the structure of their hearts. [6] If symptoms do occur, the initial presentation is often due to abnormal heart rhythms (arrhythmias) which in arrhythmogenic cardiomyopathy may take the form of palpitations, or blackouts. [7]
The resting 12-lead ECG is a useful test to differentiate CPVT from other electrical diseases of the heart that can cause similar abnormal heart rhythms. Unlike conditions such as long QT syndrome and Brugada syndrome , the resting 12-lead ECG in those with CPVT is generally normal. [ 8 ]
Recently described syndromes such as the Brugada Syndrome may give clues to the underlying mechanism of ventricular arrhythmias. In the Brugada syndrome, changes may be found in the resting ECG with evidence of right bundle branch block (RBBB) and ST elevation in the chest leads V1–V3, with an underlying propensity to sudden cardiac death. [10]
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Sgarbossa's criteria are a set of electrocardiographic findings generally used to identify myocardial infarction (also called acute myocardial infarction or a "heart attack") in the presence of a left bundle branch block (LBBB) or a ventricular paced rhythm. [1] Myocardial infarction (MI) is often difficult to detect when LBBB is present on ECG ...