Archives of the Turkish Society of Cardiology
A case of asymptomatic Brugada syndrome with type 1 ECG pattern and cardiac arrest: an evaluation of the prognostic value of electrophysiologic study [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2010; 38(3): 202-205

A case of asymptomatic Brugada syndrome with type 1 ECG pattern and cardiac arrest: an evaluation of the prognostic value of electrophysiologic study

Mustafa Çetin, Alper Canbay, Zehra Güven Çetin, Erdem Diker
Ankara Numune Education And Research Hospital, Cardiology Department, Ankara, Turkey

Brugada syndrome is characterized by ST-segment elevation in the leads V1-3 of electrocardiography (ECG) in the absence of a structural heart disease. A 26-year old male patient was admitted with sudden cardiac arrest. Cardiopulmonary resuscitation was successful and he was referred to the reanimation unit due to unconsciousness. A year before, he was diagnosed as having Brugada syndrome with type 1 ECG pattern at another center, at which time an electrophysiologic study (EPS) was not performed due to the lack of symptoms and a family history of sudden cardiac death. In addition, family screening revealed two asymptomatic brothers having Brugada syndrome with type 1 ECG pattern. Medical follow-up was recommended to one of them. The other sibling underwent EPS at a different center where ventricular fibrillation was induced. An implantable cardioverter defibrillator (ICD) was recommended, but the patient refused. A further analysis of the family made at our center showed type 2 ECG changes in the father and in one of the cousins. Due to the development of persistent brain injury and an expected survival of less than a year, an ICD was not considered in the patient. The prognostic value of EPS is still controversial in asymptomatic patients with type 1 Brugada syndrome, without a family history of sudden cardiac death.

Keywords: Death, sudden, cardiac, electrocardiography, electrophysiology, heart arrest/etiology; syndrome

How to cite this article
Mustafa Çetin, Alper Canbay, Zehra Güven Çetin, Erdem Diker. A case of asymptomatic Brugada syndrome with type 1 ECG pattern and cardiac arrest: an evaluation of the prognostic value of electrophysiologic study. Turk Kardiyol Dern Ars. 2010; 38(3): 202-205

Corresponding Author: Mustafa Çetin, Türkiye
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