BRUGADA TIPO I EN PACIENTE ESTABLE: REPORTE DE CASO
Creators
- 1. Universidad Libre Seccional Cali, Santiago de Cali, Colombia
- 2. Clínica Cali, Santiago de Cali, Colombia
- 3. clínica nuestra señora de los remedios, Santiago de Cali, Colombia
Description
El síndrome de Brugada es una canalopatía hereditaria de alta relevancia clínica, asociada con arritmias ventriculares potencialmente letales y muerte súbita. Desde su primera descripción en 1992, esta condición ha evolucionado y se diagnostica mediante un patrón electrocardiográfico característico en las derivaciones precordiales derechas. El objetivo de este reporte de caso es describir el manejo integral de un paciente estable de 59 años con patrón de Brugada tipo I, enfatizando la importancia de una evaluación temprana y el uso de estrategias terapéuticas basadas en la evidencia. Se realizó una revisión de la literatura utilizando bases de datos como PubMed, centrándose en estudios recientes sobre la patogenia, estratificación del riesgo y tratamiento del síndrome. Los principales hallazgos incluyen la detección del patrón de Brugada tipo I en el EKG, la confirmación diagnóstica mediante un estudio electrofisiológico percutáneo que evidenció la inducibilidad de arritmias, y la implantación de un desfibrilador cardioversor implantable bicameral como medida preventiva definitiva. Se concluye que la detección oportuna y el manejo adecuado, con la colaboración estrecha entre urgenciólogos, cardiólogos y electrofisiólogos, son esenciales para reducir el riesgo de eventos arrítmicos mayores y mejorar la supervivencia de los pacientes afectados.
Abstract (English)
Brugada syndrome is a hereditary channelopathy of high clinical significance, associated with potentially lethal ventricular arrhythmias and sudden cardiac death. Since its initial description in 1992, this condition has evolved and is now diagnosed based on a characteristic electrocardiographic pattern in the right precordial leads. The objective of this case report is to describe the comprehensive management of a stable 59-year-old patient presenting with a Brugada type I pattern, emphasizing the importance of early evaluation and the implementation of evidence-based therapeutic strategies. A literature review was conducted using databases such as PubMed, focusing on recent studies addressing the pathogenesis, risk stratification, and treatment of Brugada syndrome. The principal findings include the detection of the Brugada type I pattern on the electrocardiogram (ECG), diagnostic confirmation through a percutaneous electrophysiological study (EPS) that demonstrated arrhythmia inducibility, and the subsequent implantation of a dual-chamber implantable cardioverter-defibrillator (ICD) as a definitive preventive measure. In conclusion, timely detection and appropriate management—facilitated by close collaboration among emergency physicians, cardiologists, and electrophysiologists—are essential to reduce the risk of major arrhythmic events and improve patient survival.
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Additional details
Additional titles
- Translated title (English)
- BRUGADA TYPE I IN A STABLE PATIENT: A CASE REPORT
Identifiers
- ISSN
- 2530-5468
Dates
- Submitted
-
2025-08-25
- Accepted
-
2025-10-03
Software
- Repository URL
- https://revistacientificasanum.com/
References
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