Brugada Syndrome: Fatal Consequences of a Must-Not-Miss Diagnosis
| Autor: | L Douglas Smith, Sarah Gast, Danielle F Guy |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Psychological intervention Genetic disorder Arrhythmias Cardiac General Medicine Critical Care Nursing medicine.disease Defibrillators Implantable Sudden cardiac death Electrocardiographic Finding Electrocardiography Death Sudden Cardiac Cardiac conduction Epidemiology medicine Humans Advanced Practice Nurses cardiovascular diseases business Intensive care medicine Brugada Syndrome Brugada syndrome |
| Zdroj: | Critical Care Nurse. 41:15-22 |
| ISSN: | 1940-8250 0279-5442 |
| Popis: | Background Brugada syndrome is a genetic disorder of cardiac conduction that predisposes patients to spontaneous ventricular arrhythmia and sudden cardiac death. Although Brugada syndrome is one of the most common causes of sudden cardiac death, patients presenting with the syndrome often go misdiagnosed. This error has potentially fatal consequences for patients, who are at risk for sudden cardiac death without appropriate management. Objective To increase the critical care professional’s knowledge of Brugada syndrome through detailed description of the characteristic electrocardiographic findings, an algorithmic approach to electrocardiogram evaluation, and a case report of a patient with a previously missed diagnosis of Brugada syndrome. The essential concepts of epidemiology, pathophysiology, clinical presentation, risk stratification, and management are reviewed for critical care professionals who may encounter patients with the syndrome. Diagnosis Patients typically present with syncope or cardiac arrest and an abnormal electrocardiographic finding of ST-segment elevation in the precordial leads. The diagnosis of Brugada syndrome centers on identification of its electrocardiographic characteristics by critical care professionals who routinely evaluate electrocardiograms. Critical care professionals, especially nurses and advanced practice nurses, should be proficient in recognizing the electrocardiographic appearance of Brugada syndrome and initiating appropriate management. Interventions Management strategies include prevention of sudden cardiac death through lifestyle modification and placement of an implantable cardioverter-defibrillator. Critical care professionals should be aware of commonly used medications that may exacerbate ventricular arrhythmia and place patients at risk for sudden cardiac death. Conclusion Increased awareness of Brugada syndrome among critical care professionals can decrease patient morbidity and mortality. |
| Databáze: | OpenAIRE |
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