Key result
Programmed electrical stimulation for risk stratification in Brugada syndrome remains controversial, with this review discussing its value in identifying high-risk patients.
Why the study?
Does programmed electrical stimulation improve risk stratification for sudden cardiac death in patients with Brugada syndrome?
Does programmed electrical stimulation improve risk stratification for sudden cardiac death in patients with Brugada syndrome?
This review summarizes current evidence on the controversial role of programmed electrical stimulation for risk stratification in Brugada syndrome.
Answers are grounded in this paper and cite their sources.
Caution advised against routine use for sudden death risk stratification in Brugada syndrome; leaves open need for prospective validation trials.
Brugada syndrome (BS) is an arrhythmogenic disease characterized by a typical electrocardiographic finding (type 1 Brugada electrocardiogram [ECG]) and an increased risk for sudden cardiac death (SCD) due to polymorphic ventricular tachycardia or ventricular fibrillation (VF). Risk stratification remains a challenge, especially in cases without documented cardiac arrest or VF. The role of programmed electrical stimulation (PES) for risk stratification remains controversial. Therefore, the present review describes the recent published data on the use of PES in the identification of high-risk patients and discusses the value of PES for risk assessment in BS.
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Masahiko Takagi (2012) conducted a review in Brugada syndrome. Programmed electrical stimulation (PES) was evaluated. Programmed electrical stimulation for risk stratification in Brugada syndrome remains controversial, with this review discussing its value in identifying high-risk patients.
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