ID 49029
Title Transcription
Brugada ショウコウグン ノ トリアツカイ : Brugadaガタ シンデンズ オ ドウ カンリスルカ
Title Alternative
Handling of Brugada syndrome : how is Brugada type electrocardiography managed?
Author
Nomura, Masahiro Department of Human and Social Sciences, Faculty of Integrated Arts and Sciences, The University of Tokushima
Mori, Hiroyoshi Emeritus Professor, The University of Tokushima
Keywords
Brugada syndrome
saddle back
coved type
cardioverter defibrillator
sudden death
Content Type
Journal Article
Description
Brugada et al . reported that electrocardiogaraphic finding of ST elevation and right bundle branch block in the right precordial lead are closely associated with cardiac sudden death during sleep in 1992, and these finding is an important substrate of idiopathic ventricular fibrillation, since then we became call this clinical condition Brugada syndrome. Brugada type ECG is not so rare abnormality in Japan, especially saddle-back type ST elevation is often encountered in mass examination or daily clinic, and lethal arrhythmias are occurred in these some cases. Several percentage of asymptomatic Brugada syndrome complicate sudden cardiac death. Therefore, diagnosis and evaluation of prognosis of Brugada type ECG become important issue for daily clinic. Various suggestions for Brugada syndrome and asymptomatic Brugada type ECG are proposed, and implantable cardioverter defibrillator (ICD) is only therapy for Brugada syndrome, but there is not yet an agreed opinion about management of Brugada type ECG. Appropriate prevention for sudden death is necessary since some asymptomatic cases with Brugada type ECG complicate ventricular fibrillation. In our daily clinic, we examine signal averaged ECG, 123I-MIBG myocardial scintigarphy and adoministration test of pilsicanide for the case with Brugada type ECG as a screening test, and perform foreknowledge of sudden death. In near future, the standardized screening test for asymptomatic Brugada type ECG will be established by further study.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
61
Issue
5-6
Start Page
126
End Page
134
Sort Key
126
Published Date
2005-12-20
Remark
EDB ID
FullText File
language
jpn