Brugada ECG Pattern
ICD-10 I49.8 · ICD-11 BC65.Y

Treatment of Brugada ECG Pattern in Brugada Syndrome: Aborted Cardiac Arrest or Spontaneous Sustained Ventricular Tachycardia

This protocol covers the management of Brugada ECG pattern in patients with Brugada syndrome who have survived an aborted cardiac arrest or have documented spontaneous sustained ventricular tachycardia — a high-risk clinical presentation that warrants a defined, structured treatment approach.

Clinical Scenario Patients with Brugada syndrome in this group have either survived an aborted cardiac arrest or carry documentation of spontaneous sustained ventricular tachycardia. ICD implantation is recommended for both of these presentations.
Treatment Approach — Partial Overview An interventional catheter-based approach targeting arrhythmia substrate plays a role in the management of this condition. The complete regimen — including all indications, decision steps, and sequencing — is available in the full protocol. Full algorithm, clinical decision points, and complete evidence-based regimen are in the complete protocol below.
Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1093/eurheartj/ehac262

ICD implantation is recommended in patients with BrS who: (a) Are survivors of an aborted CA and/or (b) Have documented spontaneous sustained VT.

Catheter ablation of triggering PVCs and/or RVOT epicardial substrate should be considered in BrS patients with recurrent appropriate ICD shocks refractory to drug therapy.

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