Síndrome de Brugada: experiencia Cubana 2001 / Brugada's syndrome: experience in Cuba in 2001
Arch. cardiol. Méx
; Arch. cardiol. Méx;72(3): 203-208, jul.-set. 2002.
Article
em Es
| LILACS
| ID: lil-329829
Biblioteca responsável:
BR1.1
ABSTRACT
The Brugada syndrome is the most frequent electrical cause of sudden death in patients with structurally normal heart. It is characterized by ST segment elevation in V1-V3 leads, pseudo right bundle branch block and proneness for episodes of life-threatening ventricular cardiac arrhythmias. The aim of this study was to characterize patients with Brugada syndrome identified in Cuba between 1995 and 2001. Fourteen patients with these electrical signs (13 male and 1 female, mean age 42.8) were studied. Seven of them were symptomatic and seven were not. The pharmacological test with sodium channel blockers was very useful (it was positive for all the patients). HV interval was normal. Programmed ventricular stimulation was performed. Ventricular arrhythmia was inducible in 3 symptomatic patients and 2 asymptomatic. All the symptomatic patients and those asymptomatic in whom ventricular arrhythmia was inducible received automatic defibrillators. One clinical recurrence of ventricular arrhythmias was observed. Antiarrhythmic drugs were only used rarely. Clinical history and electrocardiographic tracings were very important to diagnose this syndrome. There were light, transient or masked electrical signs. The treatment of choice is the implantable cardioverter-defibrillator.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Arritmias Cardíacas
/
Morte Súbita
/
Eletrocardiografia
/
Bloqueio Cardíaco
Tipo de estudo:
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
Caribe
/
Cuba
Idioma:
Es
Revista:
Arch. cardiol. Méx
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
2002
Tipo de documento:
Article
País de afiliação:
Cuba