EP on EP Episode 49 - Brugada Syndrome Risk Stratification for SCD-EP on EP Episode 49

Video Transcription

Video Summary

In this video, Dr. Silvia Piori discusses the decision-making process for implanting an implantable cardioverter-defibrillator (ICD) in patients with Brugada syndrome. Patients who have survived a cardiac arrest or have a spontaneous type 1 pattern with a syncope episode have a clear indication for an ICD. However, for patients with a spontaneous pattern without syncope, the decision becomes more challenging. Dr. Piori suggests monitoring these patients for the development of a spontaneous pattern and upgrading their risk category if necessary. She also discusses the use of programmed electrical stimulation and quinidine as alternative options. The approach to treatment should be tailored to individual patient preferences and risk tolerance.

Keywords

implantable cardioverter-defibrillator

Brugada syndrome

decision-making process

cardiac arrest

spontaneous pattern