Brugadas syndrom
Sist revidert:
Sist revidert av:Ingard Løge
Definisjon:
Arvelig ledningsforstyrrelse karakterisert med ST-elevasjon med J-bølge i minst en av avledningene V1-V3 (type 1 Brugada-syndrom EKG)
Forekomst:
Prevalens av EKG-forandringene er ca. 0,1% i Europa.
Symptomer:
Disponerer for ventrikkelflimmer, synkope og plutselig død.
Funn:
Kliniske funn mangler utenom EKG-forandringer
Diagnostikk:
Ekg-forandringene kan være intermitterende, ev. bare synlige ved provokasjon av natrium-kanalblokkere, eller ved feber, stort alkoholforbruk, store måltid
Behandling:
Spesialistbehandling. Unngå provoserende medikamenter, feber eller store alkoholinntak. Implantasjon av defibrillator (ICD) ved høy risiko.
- Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinicla and elctrocardiographic syndrome. A multicenter report. . J Am Coll Cardiol 1992; 20: 1391-6. PubMed
- Marsman EMJ, Postema PG, Remme CA. Brugada syndrome: update and future perspectives. Heart 2021. pmid:34649929 PubMed
- Priori SG, Wilde AA, Horie M, et al. HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes: document endorsed by HRS, EHRA, and APHRS in May 2013 and by ACCF, AHA, PACES, and AEPC in June 2013. Heart Rhythm 2013; 10: 1932-63. pmid:24011539 PubMed
- Priori SG, Blomström-lundqvist C, Mazzanti A, et al . 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC) Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Eur Heart J 2015. doi:10.1093/eurheartj/ehv316 DOI
- Blom MT, Cohen D, Seldenrijk A, et al. Brugada syndrome ECG is highly prevalent in schizophrenia. Circ Arrhythm Electrophysiol 2014; 7:384. PMID: 24591540 PubMed
- Wylie JV, Garlitski AC. Brugada syndrome. UpToDate, last updated June 10, 2015. UpToDate
- Bayés de Luna A, Brugada J, Baranchuk A, et al. Current electrocardiographic criteria for diagnosis of Brugada pattern: a consensus report. J Electrocardiol 2012; 45:433. PubMed
- Sroubek J, Probst V, Mazzanti A, et al. Programmed ventricular stimulation for risk stratification in the Brugada syndrome: A pooled analysis. Circulation 2016; 133:622-30. doi: 10.1161/CIRCULATIONAHA.115.017885 DOI
- Graven T, Loennechen JP, Leren TP. Brugadas syndrom. Tidsskr Nor Legeforen 2008; 128: 2828-31. Tidsskrift for Den norske legeforening
- Heidbuchel H, Corrado D, Biffi A, et al. Recommendations for participation in leisure-time physical activity and competitive sports of patients with arrhytmias and potentially arrhytmogenic conditions. Eur J Cardiovasc Prev Rehabil 2006; 13: 676-86. PubMed
- Giustetto C, Cerrato N, Gribaudo E, et al. Atrial fibrillation in a large population with Brugada electrocardiographic pattern: prevalence, management, and correlation with prognosis. Heart Rhythm 2014; 11: 259-65. pmid:24513919 PubMed
- Ingard Løge, spesialist allmennmedisin, redaktør Norsk Elektronisk Legehåndbok
Tidligere fagmedarbeidere
- Per Blomström, docent och överläkare, Kardiologkliniken, Akademiska sjukhuset, Uppsala (Medibas)
- Gottfried Greve, professor Institutt for klinisk medisin, Universitetet i Bergen. Overlege, Hjerteavdelingen, Haukeland Universitetssykehus