Inherited Cardiac Conditions

Question 1

What are some of the triggers of Brugada Syndrome?

Answer 1

Usually rest or sleep
Fever
Excessive alcohol, large meals

Question 2

How do you manage Brugada Syndrome?

Answer 2

Avoid drugs like calcium channel blockers which may induce Brugada syndrome on ECG
Avoid excessive alcohol and large meals
Treat all fever with anti pyretic medications
ICD if ventricular arrhythmia

Question 3

Benefits of S-ICD - subcutaneous internal cardiac defibrilators

Answer 3

Prevention of vascular complications
Better cosmetic and functional outcome
Lead extraction sfae

Question 4

What ICDs are generally given to young people?

Answer 4

S-ICDs as the boxes are easier to change

Question 5

What are the limitations of transvenous ICDs?

Answer 5

High risk of vascular and cardiac complications in life time of patient
Cosmetic and functional issues related to ICD position e.g. seat belts, shoulder bags, ports etc
Lead extraction has high risk of mortality and morbidity