Variabilidad del patrón electrocardiográfico en un paciente con Síndrome de Brugada

Marcelo Vicente Puga, Yisel Gallardo Medina, Alan Robaina Machado, Jesús Castro Hevia

Texto completo:

PDF HTML

Resumen

Se trata de paciente masculino de 21 años, que inicialmente presentó cifras elevadas de tensión arterial, se realizó un ecocardiograma, una prueba de esfuerzo y electrocardiogramas, que fueron normales. Posteriormente presentó dos cuadros de pérdida súbita de la conciencia de corta duración y recuperación espontánea, para lo cual acude a Emergencias y en electrocardiogramas seriados se constata patrón tipo1 de Síndrome de Brugada.

Palabras clave

síndrome de Brugada, muerte súbita cardiaca, síncope

Referencias

Chen Q, Kirsch G, Zhang D, et al. Genetic basis and molecular mechanisms for idiopathic ventricular fibrilation. Nature. 1998; 392:293-296.

Antzelevitch C, Yan GX. J-wave syndromes: Brugada and early repolarization síndromes. HeartRhythm. 2015;12:1852–1866.

Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome. A multicenter report. J Am Coll Cardiol. 1992; 20:1391-1396.

Priori S, Wilde A, Horie M, Cho Y, Behr E, Berul C, et al. HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes. Europace. 2013; 15:1389-1406.

Matsumoto A. Fundamental aspects of hypogonadism in the aging male. Rev Urol. 2003; 5:3-10.

Priori S, Napolitano C, Gasparini M, Pappone C, Della Bella P, Giordano U, et al. Natural history of Brugada syndrome: insights for risk stratification and management. Circulation. 2002; 105:1342-1347.

Abdulrahman N, Elijah RB, Velislav NB. Electrocardiographic methods for diagnosis and risk stratification in the Brugada syndrome. J Saudi Heart Assoc. 2015; 27:96-108.

Belhassen B. Management of Brugada Syndrome 2016: Should All High Risk Patients Receive an ICD? Circ Arrhythm Electrophysiol. [Internet]. 2016;9 [citado 6 Jun 2017]:e004185. Disponible en: DOI: 10.1161/CIRCEP.116.004185.

Priori SG S, Blomström-Lundqvist C, Mazzanti A, Blom N, Borggrefe M, Camm J, et al. ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: death: the Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the ESC. Eur Heart J. 2015; 36:2793-2867.

Richter S, Sarkozy A, Veltmann C, Gian-Battista C, Boussy T, Wolpert C, et al. Variability of the Diagnostic ECG Pattern in an ICD Patient Population with Brugada Syndrome. J Cardiovasc Electrophysiol. 2009; 20:69-75.

Cerrato N, Giustetto C, Gribaudo E, Richiardi E, Barbonaglia L, Scrocco C, et al. Prevalence of Type 1 Brugada Electrocardiographic Pattern Evaluated by Twelve-Lead Twenty-Four-Hour Holter Monitoring. Am J Cardiol. 2015; 115:52-56.

Antzelevich C, Brugada P, Borggrefe M, Brugada J, Brugada R , Corrado D, et al. Brugada Syndrome. Report of the second consensus conference. Circulation. 2005; 111:659-670.

Miyazaki T, Mitamura H, Miyoshi S, Soejima K, Aizawa Y, Ogawa S. Autonomic and antiarhythmic drug modulation of ST segment elevation in patients with Brugada syndrome. J Am Coll Cardiol. 1996; 27:1061-1070.

Nogami A, Nakao M, Kubota S, Sugiyasu A, Doi H, Yokoyama K, et al. Enchancement of J-ST segment elevation by the glucose and insulin test in Brugada syndrome. Pacing Clin Electrophysiol. 2003; 26:332-337.

Mizumaki K, Fujiki A, Tsuneda T, Sakabe M , Nishida K, Sugao M, et al. Vagal activity modulates spontaneous augmentation of ST elevation in the daily life of patients with Brugada syndrome. J Cardiovasc Electrophysiol. 2004; 15:667-673.

Ikeda T, Abe A, Yusu S, Nakamura K, Ishiguro H, Mera H, et al. The full stomach test as a novel diagnostic technique for identifying patients at risk of brugada syndrome. J Cardiovasc Electrophysiol. 2006; 17:602-607.

Nakano , Shimizu , Ogi , Suenari , Oda , Makita , et al. A spontaneous Type 1 electrocardiogram pattern in lead V2 is an independent predictor of ventricular fibrillation in Brugada syndrome. Europace. 2010 Enero; 12:410-416.

Okamura H, Kamakura T, Morita , Tokioka , Nakajima , Wada M, et al. Risk Stratification in Patients With Brugada Syndrome Without Previous Cardiac Arrest – Prognostic Value of Combined Risk Factors –. Circulation Journal. 2015 Febrero; 79: 310-317.

Enlaces refback

  • No hay ningún enlace refback.




Copyright (c) 2017 Marcelo Vicente Puga, Yisel Gallardo Medina, Alan Robaina Machado, Jesús Castro Hevia

Licencia de Creative Commons
Este obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial 4.0 Internacional.