Asymptomatic Brugada Syndrome: Clinical Characterization and Long-Term Prognosis

Juan Sieira, Giuseppe Ciconte, Giulio Conte, Gian Battista Chierchia, Carlo DE Asmundis, Giannis Baltogiannis, Giacomo Di Giovanni, Yukio Saitoh, Ghazala Irfan, Rubén Casado-Arroyo, Justo Julià, Mark La Meir, Francis Wellens, Kristel Wauters, Gudrun Pappaert, Pedro Brugada

Research output: Contribution to journalArticle

Abstract

Background - Among Brugada syndrome patients, asymptomatic individuals are considered to be at the lowest risk. Nevertheless, arrhythmic events and sudden cardiac death are not negligible. Literature focused on this specific group of patients is sparse. The purpose of this study is to investigate the clinical characteristics, management, and long-term prognosis of asymptomatic Brugada syndrome patients. Methods and Results - Patients presenting with spontaneous or drug-induced Brugada type I ECG and no symptoms at our institution were considered eligible. A total of 363 consecutive patients (200 men, 55.1%; mean age, 40.9±17.2 years; 41 [11.3%] with spontaneous type I ECG) were included. Electrophysiological study was performed in 321 (88.4%) patients, and ventricular arrhythmias were induced in 32 (10%) patients. An implantable cardioverter defibrillator was implanted in 61 (16.8%) patients. After a mean follow-up time of 73.2±58.9 months, 9 arrhythmic events occurred, accounting for an annual incidence rate of 0.5%. Event-free survival was 99.0% at 1 year, 96.2% at 5 years, and 95.4% at 10 and 15 years. Univariate analysis identified as risk factors: electrophysiological study inducibility (hazard ratio, 11.4; P

Original languageEnglish
Pages (from-to)1144-1150
Number of pages7
JournalCirculation: Arrhythmia and Electrophysiology
Volume8
Issue number5
DOIs
Publication statusPublished - Oct 1 2015

Keywords

  • arrhythmias, cardiac
  • Brugada syndrome
  • death, sudden, cardiac
  • defibrillators, implantable
  • prognosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)
  • Medicine(all)

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  • Cite this

    Sieira, J., Ciconte, G., Conte, G., Chierchia, G. B., DE Asmundis, C., Baltogiannis, G., Di Giovanni, G., Saitoh, Y., Irfan, G., Casado-Arroyo, R., Julià, J., La Meir, M., Wellens, F., Wauters, K., Pappaert, G., & Brugada, P. (2015). Asymptomatic Brugada Syndrome: Clinical Characterization and Long-Term Prognosis. Circulation: Arrhythmia and Electrophysiology, 8(5), 1144-1150. https://doi.org/10.1161/CIRCEP.114.003044