Approach to the asymptomatic patients with Brugada syndrome
2007
Understanding Asymptomatic Brugada Syndrome
Editorial
Author Information
Author(s): Takagi Masahiko MD, PhD, Tatsumi Hiroaki MD, Yoshiyama Minoru MD, PhD
Primary Institution: Osaka City University Graduate School of Medicine
Hypothesis
How can we effectively risk stratify asymptomatic patients with Brugada syndrome?
Conclusion
The risk of sudden cardiac death in asymptomatic patients with Brugada syndrome is still uncertain and requires further study.
Supporting Evidence
- Patients with a history of syncope or sudden cardiac death are at high risk for sudden cardiac death.
- Risk stratification for asymptomatic patients remains a challenge.
- Some studies suggest that a spontaneously abnormal type 1 Brugada ECG might predict sudden cardiac death.
Takeaway
Brugada syndrome can cause sudden heart problems, but it's hard to tell how risky it is for people who don't have symptoms.
Limitations
There is a lack of uniformity in diagnostic criteria and follow-up periods are limited.
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