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Brugadas syndrom

Sist revidert:
Sist revidert av:
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.
  1. 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  
  2. Marsman EMJ, Postema PG, Remme CA. Brugada syndrome: update and future perspectives. Heart 2021. pmid:34649929 PubMed  
  3. 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  
  4. 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  
  5. 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  
  6. Wylie JV, Garlitski AC. Brugada syndrome. UpToDate, last updated June 10, 2015. UpToDate  
  7. 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  
  8. 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  
  9. Graven T, Loennechen JP, Leren TP. Brugadas syndrom. Tidsskr Nor Legeforen 2008; 128: 2828-31. Tidsskrift for Den norske legeforening  
  10. 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  
  11. 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