Electrophysiological patterns and structural substrates of Brugada syndrome: Critical appraisal and computational analyses.
J Cardiovasc Electrophysiol
; 35(8): 1673-1687, 2024 Aug.
Article
em En
| MEDLINE
| ID: mdl-38899376
ABSTRACT
Brugada syndrome (BrS) is a cardiac electrophysiological disease with unknown etiology, associated with sudden cardiac death. Symptomatic patients are treated with implanted cardiac defibrillator, but no risk stratification strategy is effective in patients that are at low to medium arrhythmic risk. Cardiac computational modeling is an emerging tool that can be used to verify the hypotheses of pathogenesis and inspire new risk stratification strategies. However, to obtain reliable results computational models must be validated with consistent experimental data. We reviewed the main electrophysiological and structural variables from BrS clinical studies to assess which data could be used to validate a computational approach. Activation delay in the epicardial right ventricular outflow tract is a consistent finding, as well as increased fibrosis and subclinical alterations of right ventricular functional and morphological parameters. The comparison between other electrophysiological variables is hindered by methodological differences between studies, which we commented. We conclude by presenting a recent theory unifying electrophysiological and structural substrate in BrS and illustrate how computational modeling could help translation to risk stratification.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Simulação por Computador
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Potenciais de Ação
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Síndrome de Brugada
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Modelos Cardiovasculares
Limite:
Humans
Idioma:
En
Revista:
J Cardiovasc Electrophysiol
Assunto da revista:
ANGIOLOGIA
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CARDIOLOGIA
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FISIOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Itália