Understanding Brugada Syndrome

A Guide to This Inherited Heart Rhythm Disorder

Cardiology

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Last updated: Mar 24, 2025

What is Brugada Syndrome?

Brugada syndrome is a rare but serious inherited heart condition that affects the heart's electrical system. It can cause dangerous irregular heart rhythms (arrhythmias) that may lead to sudden cardiac arrest.

Key Characteristics

  • Inherited genetic condition
  • Affects the sodium channels in heart muscle cells
  • More common in men and people of Asian descent
  • Usually diagnosed in adulthood

Common Symptoms

  • Fainting (syncope)
  • Heart palpitations
  • Irregular heartbeat
  • Difficulty breathing, especially at night
  • Sudden cardiac arrest (in severe cases)

Diagnosis

Primary Diagnostic Tools

  1. Electrocardiogram (ECG)
  2. Genetic testing
  3. Family history assessment
  4. Provocative drug testing

Treatment Options

Immediate Management

  • Implantable Cardioverter Defibrillator (ICD)
  • Medication to prevent arrhythmias
  • Avoiding trigger factors

Long-term Care

  • Regular cardiac monitoring
  • Family screening
  • Lifestyle modifications

Risk Factors and Triggers

  • Fever
  • Certain medications
  • Excessive alcohol consumption
  • Electrolyte imbalances

Living with Brugada Syndrome

Important Precautions

  1. Monitor and treat fevers promptly
  2. Maintain regular medical check-ups
  3. Inform healthcare providers about your condition
  4. Wear medical identification

Family Planning

  • Genetic counseling recommended
  • Family screening important
  • 50% chance of passing to children

When to Seek Emergency Care

  • Fainting episodes
  • Severe heart palpitations
  • Difficulty breathing
  • Chest pain

Support and Resources

  • Patient support groups
  • Genetic counseling services
  • Cardiac specialist care
  • Educational materials

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