[SCD-FORUM] 9S RE: Palpitations and SD risk Dr. Munoz

[SCD Symposium]

First, my dear colleague, I would like to emphasize that one of the  
preferential patterns of behavior about pre-excitation syndromes,  
just as the case of WPW (case of supraventricular tachycardias), is  
constituted by short PR with delta wave. If there is no anomalous  
behavior pattern by anomalous reentry conduction (Kent's bundle), we  
should discuss if there is pharmacological or sympathomimetic  
background, as well as thyroid evaluation. Possibly, it may also be  
associated to "ansiogenic" state, as well as possibly researching in  
more depth, behavioral aspects should be observed, related to  
possible narcotic drug dependency, considering the age  
characteristics. Long QT (BrS) is generally characteristic of the  
female gender with a much greater prevalence over the male gender; on  
the other hand it would be convenient to perform a stress test  
(stress ergometer test) to check whether there are symptom  
alterations, which may leave the patient vulnerable to SDS (sudden  
death syndrome).
An appropriate screening would be very helpful, not forgetting a  
thorough semiological test.
Sincerely,
Prof. Marcelo Muñoz

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee




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