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Date Published: 05/05/2024
Abstract Views: 55
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DOI: https://doi.org/10.51298/vmj.v538i1.9378
Issue
Vol. 538 No. 1 (2024)
Section
Các bài báo
How to Cite
Phan, Đình P., Lê, C. K., & Phạm, N. H. (2024). PROGNOSTIC VALUE ABOUT ARRHYTHMIC EVENTS OF PROGRAMMED ELECTRICAL STIMULATION IN ASYMPTOMATIC PATIENTS WITH BRUGADA SYNDROME. Vietnam Medical Journal, 538(1). https://doi.org/10.51298/vmj.v538i1.9378

PROGNOSTIC VALUE ABOUT ARRHYTHMIC EVENTS OF PROGRAMMED ELECTRICAL STIMULATION IN ASYMPTOMATIC PATIENTS WITH BRUGADA SYNDROME

Đình Phong Phan, Cao Khánh Lê, Như Hùng Phạm

Main Article Content

Abstract

Aim: The aim was to evaluate the ability of programmed electrical stimulation (PES) to predict future ventricular arrhythmia events in asymptomatic Brugada patients. Result: During the period from May 2018 to June 2023, 63 patients (60 males; 3 females; age mean, 48 ± 13) diagnosed with asymptomatic Brugada Syndrome (based on a documented spontaneous type 1 ECG) underwent programmed electrical stimulation at the Vietnam National Heart Institute and Hanoi Heart Hospital. Malignant ventricular arrhythmias (ventricular fibrillation and/or polymorphic ventricular tachycardia) were induced in 15 patients (24%), 11 patients in this group were implanted implantable cardioverter defibrillator (ICD), 4 were not. After a mean follow-up of 30 ± 19 months, 4 arrhythmic events occurred (3 patients experienced appropriate ICD shocks, and 1 died). All patients with fatal arrhythmic events were in the inducible group. Conclusion: Programmed electrical stimulation is a strong predictor of fatal arrhythmic events in asymptomatic patients with Brugada syndrome.

Article Details

Keywords

Brugada Syndrome, Programmed Electrical Stimulation, Arrhythmic events

References

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