Brugada Syndrome, Emergency Medicine

Reviewed 06/2017
 


Basics

Description

  • Inherited heart disease due to mutations of cardiac Na+ channels without structural abnormalities

  • Very high risk of sudden cardiac death in the form of ventricular fibrillation

  • 2-yr mo...

Diagnosis

Signs and Symptoms

  • Most commonly presents as episodes of sudden death (in ventricular fibrillation) or as syncope or near-syncope in self-terminating episodes of polymorphic ventricular tachy...

Treatment

Pre-Hospital

  • Airway, breathing, and circulation management

  • ACLS protocol for arrest/dysrhythmias

Initial Stabilization/Therapy

  • Airway, breathing, and circulation management

  • Start or continue ACLS...

Follow-Up

Disposition

Admission Criteria

  • EKG findings concerning for Brugada in the appropriate clinical setting

  • Unexplained syncope

  • Inability to obtain rapid cardiology follow-up

  • Ongoing dysrhythmias even...

Pearls and Pitfalls

  • Consider in any episodes of sudden cardiac death or syncope, especially in the setting of family history of the same

  • The EKG is diagnostic showing RBBB or IRBBB with ST-segment elev...

Additional Reading

  • 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(5):433...

Codes

ICD9

746.89 Other specified congenital anomalies of heart 

ICD10

  • I49.8 Other specified cardiac arrhythmias

  • Q24.8 Other specified congenital malformations of heart

SNOMED

  • 418818005 brugada syndrome (di...

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