Zusammenfassung
Das Brugada-Syndrom ist eine erbliche, heterogene Ionenkanalerkrankung (MIM-Eintrag: 601144), die durch charakteristische rechtspräkordiale EKG-Veränderungen, dem Fehlen von strukturellen Herzauffälligkeiten und einem erhöhten Risiko für den plötzlichen Herztod gekennzeichnet ist. Typische Symptome sind Synkopen, Kammerflimmern bzw. überlebter plötzlicher Herztod, nächtliche agonale Respiration, Palpitationen und/oder Missempfindungsstörungen im Brustkorbbereich. Diese Symptome entstehen überwiegend in Ruhe bzw. Schlaf, während eines Fieberanstiegs oder unter vagotonen Bedingungen. Das Syndrom wird durch eine Typ-1-ST-Segment-Elevation (Typ-1-EKG) diagnostiziert. Eine spezifische dauerhafte Medikation zur Behandlung des Brugada-Syndroms ist nicht verfügbar. Eine ICD-Behandlung ist derzeit die einzige effektive Strategie zur Verhinderung des plötzlichen Herztodes bei Patienten mit Brugada-Syndrom.
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Schulze-Bahr, E. (2015). Brugada-Syndrom. In: Lehnert, H., et al. SpringerReference Innere Medizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54676-1_199-1
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DOI: https://doi.org/10.1007/978-3-642-54676-1_199-1
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