Catheter Ablation for Brugada Syndrome
Korean Circulation Journal
; : 289-301, 2020.
Article
in En
| WPRIM
| ID: wpr-811371
Responsible library:
WPRO
ABSTRACT
Brugada syndrome (BrS) is an arrhythmogenic disease associated with an increased risk of ventricular fibrillation (VF) and sudden cardiac death (SCD). To date, the standard therapy for the prevention of SCD in BrS is the use of an implantable cardioverter-defibrillator (ICD) especially in patients who have experienced a prior cardiac arrest or syncopal events secondary to VF. However, ICDs do not prevent the occurrence of VF but react to defibrillate the VF episode, thereby preventing SCD. Often patients with recurrent VF have to be maintained on antiarrhythmic drugs that are effective but have remarkable adverse effects. An alternative therapy for BrS with recurrent VF is catheter ablation which emerged as an effective therapy in eliminating VF-triggering premature ventricular complexes in limited case series; however, there has been a remarkable progress in effectiveness of catheter ablation since epicardial substrate ablation was first applied in 2011 and such approach is now widely applicable.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Ventricular Fibrillation
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Death, Sudden, Cardiac
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Defibrillators, Implantable
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Catheter Ablation
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Ventricular Premature Complexes
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Brugada Syndrome
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Catheters
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Heart Arrest
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Anti-Arrhythmia Agents
Limits:
Humans
Language:
En
Journal:
Korean Circulation Journal
Year:
2020
Type:
Article