Intoxication with alcohol: An underestimated trigger of Brugada syndrome?

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Intoxication with alcohol: An underestimated trigger of Brugada syndrome?

Alcohol intoxication is a potentially under-recognised precipitant of Brugada syndrome. Higher pre-cordial electrocardiogram lead placement increases sensitivity of detecting the Brugada pattern.

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A diagnostic triad characterizes Brugada syndrome. It consists of a right bundle branch block, ST-segment elevation in leads V1-V3 and sudden cardiac death (SCD). Approximately 50% of patients with Brugada syndrome noted to have familial occurrence, this suggests a genetic component of the disease. Mutations in gene SCN5A, an encoder for human cardiac sodium channel on chromosome 3p21, causes B...

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Alcohol intoxication, an underdiagnosed problem?

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A Report of Brugada Syndrome Presenting with Cardiac Arrest Triggered by Verapamil Intoxication

BACKGROUND Brugada syndrome is a disease characterized by a specific electrocardiographic pattern and an increased risk of sudden cardiac death. We present this case with the updated literature to emphasise the need to consider the diagnosis of Brugada syndrome in patients admitted to the emergency ward with sudden cardiac arrest. CASE REPORT A 16-year-old female patient was admitted to the e...

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Brugada syndrome: an intriguing phenomenon

V Anantharaman, MBBS, FRCS(Edin)(A&E), FAMS Brugada Syndrome has a unique electrocardiographic pattern of downsloping ST-segment elevation in the right praecordial leads (V1 to V3), right bundle branch block pattern and a normal QT-interval. Intermittent and concealed forms do exist. It is important for emergency physicians to recognise this ECG marker of sudden cardiac death. We report the cas...

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ژورنال

عنوان ژورنال: JRSM Open

سال: 2016

ISSN: 2054-2704,2054-2704

DOI: 10.1177/2054270416640153