[SCD-FORUM] 58S RE: Some questions about Brugada Syndrome. Dr. Asensio

[SCD Symposium]

Could Brugada type I pattern respond to changes derived from vagal  
shock and Bezold-Jarish type response of neurocardiogenic syncope, in  
which apparently, the main problem is in preload/venous return?

Enrique Asensio L.
México

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee


>
> Induction of a type I Brugada pattern during febrile states has  
> been well
> described.
>
> I have also observed a few cases where a Type I Brugada pattern was  
> observed
> during or shortly after a strong vagal episode, such as severe  
> abdominal
> pain , or a vasovagal episode, where the individual recovered quite  
> quickly
> as with a vasovagal syncope, unlike a sudden cardiac arrest  
> situation. The
> ECG subsequently reverted to normal or a Type II or III pattern on a
> separate occasion.
>
> What is the mechanism of these observations and what is the  
> prognosis? If
> EPS is performed, how often is VT/VF inducible?
>
> I would like to hear the opinion of the experts in this field.
>
> Sincerely
>
>
> Dr Ruth Kam
> Consultant Cardiologist and Cardiac Electrophysiologist
> Ruth Kam Heart and Arrhythmia Clinic
> #08-06, Mt Elizabeth Medical Centre
> Singapore 228510
>
>

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