The Brugada syndrome: a complex cardiological problem in the experience of the specialist in internal medicine

Submitted: 3 May 2013
Accepted: 3 May 2013
Published: 3 May 2013
Abstract Views: 726
PDF: 4115
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BACKGROUND Brugada syndrome, a disease burdened by elevated risk of sudden unexpected cardiac death, often affects young aged subjects that have structurally healthy heart. The diagnostic itinerary is complex: anamnesis, ECG, pharmacological test and electrophysiological study. Its phenotypes are three.
METHOD We have identified 13 cases (10 men and 3 women), 12 estimated at the Cardiological Outpatients' Department and 1 at the First-aid Station.
RESULTS 2 cases belonged to phenotype 1, 4 cases to phenotype 2 and 7 cases to phenotype 3.
CONCLUSIONS Our work of specialists in internal medicine, toward this syndrome, is: an accurate anamnesis, a correct interpretation of ECG, fast sending of high risk cases to advanced level cardiological competences, a selection of cases to submit to pharmacological test, to address middle risk patients to cardiological competences, offering our cooperation in the follow-up.

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Frabetti, F., & Zamboni, P. (2013). The Brugada syndrome: a complex cardiological problem in the experience of the specialist in internal medicine. Italian Journal of Medicine, 1(3), 35–44. https://doi.org/10.4081/itjm.2007.3.35