Brugada syndrome Flashcards
1
Q
Type 1 Brugada syndrome ECG features
A
coved ST segments in V1/V2
it is sodium channelopathy
2
Q
Important questions you would ask the patient
A
Family hx of sudden cardiac death Previous syncopal episodes hx of agonal nocturnal breathing precipitants : alcohol/cocaine/temp triggering medications :type 1 antiarrhythmics ( procainamide )
3
Q
to treat a concious VT in this patient ,. what medication you go with ?
A
amiodarone
4
Q
if the patient is minor ( 17 yr M ) and asking to discharge against medical advise, what 3 points you need to make for this situation ?
A
explain risk of sudden cardiac death
requires cardiology admission and probably AICD insertion
suggest first degree relatives may need to be investigated
