[SCD-FORUM] 66E RE: Brugada's pattern detection in a son of SCD's patient. Dr. Ramon Brugada

[SCD Symposium]

If type I ecg is present, pharmacologic test is not indicated, the  
diagnosis
is made.

Some investigators will go ahead and implant a defibrillator, because  
of the
family history

Others will wait until he develops any symptoms

I recommend an EPS to risk stratify. If positive then ICD implant.


Ramon Brugada MD FACC
Associate Professor of Medicine
Canadian Research Chair Genetics of Arrhythmias
University of Montreal
Director Clinical Cardiovascular Genetics Center
Montreal Heart Institute
5000 Rue Belanger
Montreal, QC H1T 1C8
Canada

ramon at brugada.org


>
> Dear Sergio,
> About a case of reanimation of sudden death in a 54-year-old  
> patient, with no structural heart disease, with all the studies  
> made: coronary angiography, MNR, Holter, EPS.
> Everything appears to be normal. Monomorphic arrhythmic storm is  
> detected at the moment the patient is admitted. The patient is  
> provided life support and he recovers in 24 hs. ICD implantation is  
> decided. After three months he displays three shocks by arrhythmic  
> storm, incessant ventricular tachycardia. Mapping and focus  
> ablation is decided, in outflow tract with mismatch.
> To this moment, the patient has not displayed any event. It's been  
> three months, and in a Holter register in one of his sons, typical  
> Brugada pattern is observed. The patient is 17 years old,  
> asymptomatic. I cannot perform pharmacological test. What should I  
> do next?
>
> Dr. Cagnolatti  <drcagnolattia at hotmail.com>
>
> --
> Dr. Sergio Dubner
> President of Scientific Committee
>
> Dr. Edgardo Schapachnik
> President of Steering Committee
>
>
>
>
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--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee




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