[SCD-FORUM] 11E RE: Palpitations and SCD risk. Dr. Haghjoo

[SCD Symposium]

Dear Dr. Vorotniak,

Thank you for presenting this case. There is no difference in risk of  
SCD in
Brugada patient with palpitation or asymptomatic Brugada syndrome. It is
well known that incidence of many supraventricular tachycardias such  
as AF,
AFL, and AVNRT are higher in patients with Brugada syndrome. Thus,  
medical
follow-up is recommended in case of noninducibility of any arrhythmia  
during
electrophysiologic study.

Best regards,

Majid Haghjoo,MD
Department of Pacemaker and Electrophysiology
Rajaie Cardiovascular Medical and Research Center
Tel: +98 21 2392 2931
Fax:+98 21 2204 8174
Tehran, Iran


>
> Dear colleagues,
> I would like to ask some questions about the prognostic value of  
> "palpitations" in Brugada and Long QT syndromes:
>
> 1.	What is the risk of SCD in a young patient with no underlying  
> heart disease or hereditary-familial background for SCD, with  
> Brugada syndrome (or Long QT) ECG pattern, and aborted and isolated  
> episodes of "palpitations" (not recorded with Holter monitoring)?
> 2.	How do we continue the evaluation of this patient, if in the  
> electrophysiological study there is no ventricular arrhythmia  
> triggered?
> 3.	Is there any relationship between the mentioned syndromes and  
> supraventricular tachyarrhythmia incidence?
>
> Thank you very much,
> Dr. Andriy Vorotniak
> Buenos Aires, Argentina
>
>

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee




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