Treatment of Type 1 Brugada ECG Pattern with Arrhythmic Syncope
Clinical Scenario
A patient presents with type 1 Brugada ECG pattern and a history of arrhythmic syncope — a high-risk combination that warrants a structured management approach.
In this setting, the arrhythmic nature of the syncopal event significantly informs the risk stratification and the choice of intervention. Evidence-based guidelines address this combination directly.
Management Approach (partial)
A device-based intervention is a central consideration in this scenario. Beyond that, catheter-based approaches targeting the arrhythmic substrate are part of the available strategy — the full protocol specifies which interventions apply and in what context.
The complete regimen, sequencing, and criteria are available in the full structured protocol below.
References
DOI: 10.1093/eurheartj/ehac262
- ICD implantation should be considered in patients with type 1 Brugada pattern and an arrhythmic syncope.
- 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.
View source ↗