Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may...
Transcript of Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may...
![Page 1: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/1.jpg)
Nikolaos Fragakis
Assistant Professor, FESC
3rd University Cardiology Department
Hippokration Hospital, Thessaloniki
BRUGADA SYNDROME
Phenotypic Manifestations & Drugs Effect
![Page 2: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/2.jpg)
![Page 3: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/3.jpg)
Patterns of Brugada ECG.
![Page 4: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/4.jpg)
New ECG criteria
![Page 5: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/5.jpg)
Brugada ECG and right precordial early
repolarization seen in athlete’s heart
Brugada ECG
Athlete’s ECG
STJ/ST80 > 1
STJ/ST80 < 1
![Page 6: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/6.jpg)
Abnormalities of the Br ECG
![Page 7: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/7.jpg)
BRUGADA Phenocopies
ECG pattern characteristic of BrS that may arise from
multiple causes (metabolic disorders, electrocution,
ischemia, etc) and disappear upon resolution of the injury
negative pharmacological challenge test
Negative genetic test
Unknown prognosis
![Page 8: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/8.jpg)
Comparison of various type 1
Brugada phenocopies
Acute IMI with
RV involvementTypical BR1
congenital
hypokalemic
periodic paralysis
hyperkalemia,
hyponatremia &
acidosis
Acute PE
![Page 9: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/9.jpg)
Comparison of various type 1
Brugada phenocopies
![Page 10: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/10.jpg)
Terminology of the Brugada Syndrome
and its Associated Manifestations
![Page 11: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/11.jpg)
International Registry of Brugada
Phenocopies
(www.brugadaphenocopy.com)
![Page 12: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/12.jpg)
![Page 13: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/13.jpg)
Diagnostic drugs in Brugada
syndrome
Potential antiarrhythmic drugs in Brugada syndrome
Diagnostic drugs in Brugada syndrome
![Page 14: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/14.jpg)
![Page 15: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/15.jpg)
PACE 2007;30:823–825
![Page 16: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/16.jpg)
![Page 17: Heart Monitoring Options€¦ · BRUGADA Phenocopies ECG pattern characteristic of BrS that may arise from multiple causes (metabolic disorders, electrocution, ischemia, etc) and](https://reader034.fdocuments.in/reader034/viewer/2022042808/5f84eb2d43b78265384fadfd/html5/thumbnails/17.jpg)