From the ECG to the Diagnosis: How to Squeeze Out All the Information Contained-ECG Risk Stratification in Brugada Syndrome (Presenter: Pier D. Lambiase, MBChB, FHRS)

ECG Risk Stratification in Brugada Syndrome (Presenter: Pier D. Lambiase, MBChB, FHRS)

Video Transcription

Video Summary

Dr. Nambiazi discusses the use of electrocardiogram (ECG) for risk stratification in Brugada syndrome. He emphasizes the importance of correctly identifying the type 1 Brugada pattern and differentiating it from other ECG abnormalities. He explains that there are two proposed mechanisms for the ST elevation in Brugada syndrome: repolarization abnormalities and conduction delays in the right ventricular outflow tract. Dr. Nambiazi discusses various ECG markers that have been associated with increased risk of ventricular fibrillation (VF) in Brugada syndrome, including fragmented QRS, early repolarization pattern, S-wave pattern, and AVR sign. He explains the significance of dynamic changes in the ECG and the challenges in predicting risk based on individual risk markers. He also presents a risk score model that combines multiple ECG markers and family history to predict the risk of cardiac arrest in Brugada syndrome. This model shows promise in accurately identifying high-risk patients who may benefit from implantable cardioverter-defibrillator (ICD) therapy.

Meta Tag

Lecture ID 4043

Location Room 201

Presenter Pier D. Lambiase, MBChB, FHRS

Role Invited Speaker

Session Date and Time May 09, 2019 10:30 AM - 12:00 PM

Session Number S-010

Keywords

ECG

Brugada syndrome

risk stratification

ventricular fibrillation

ICD therapy