Brugada Syndrome: Fatal Consequences of a Must-Not-Miss Diagnosis.
Background: Brugada syndrome is a genetic disorder of cardiac conduction that predisposes patients to spontaneous ventricular arrhythmia and sudden cardiac death. Although Brugada syndrome is one of the most common causes of sudden cardiac death, patients presenting with the syndrome often go misdia...
| Publicado en: | Critical Care Nurse Vol. 41; no. 5; pp. 15 - 23 |
|---|---|
| Autores principales: | , , |
| Formato: | case study CEU review Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Oct2021
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=152736768&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152736768 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02795442 1GD jtl: Critical Care Nurse issn: 02795442 maglogo: N pubinfo: dt: Oct2021 vid: 41 iid: 5 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 152736768 152736768 152736768 10.4037/ccn2021499 152736768 ppf: 15 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Brugada Syndrome: Fatal Consequences of a Must-Not-Miss Diagnosis. aug: au: Smith Jr, L. Douglas Gast, Sarah Guy, Danielle F. affil: L. Douglas Smith Jr is an acute care nurse practitioner at TriStar Centennial Medical Center, Nashville, Tennessee, and an instructor of nursing at Vanderbilt University, Nashville sug: subj: Brugada Syndrome Critical Care Nursing Education Nursing Knowledge Nursing Skills Electrocardiography Brugada Syndrome Physiopathology Brugada Syndrome Diagnosis Brugada Syndrome Epidemiology Brugada Syndrome Therapy Brugada Syndrome Risk Factors Brugada Syndrome Familial and Genetic Life Style Changes Death, Sudden, Cardiac Prevention and Control Defibrillators, Implantable Registered Nurses Education Advanced Practice Registered Nurses Education Education, Continuing (Credit) ab: Background: Brugada syndrome is a genetic disorder of cardiac conduction that predisposes patients to spontaneous ventricular arrhythmia and sudden cardiac death. Although Brugada syndrome is one of the most common causes of sudden cardiac death, patients presenting with the syndrome often go misdiagnosed. This error has potentially fatal consequences for patients, who are at risk for sudden cardiac death without appropriate management. Objective: To increase the critical care professional's knowledge of Brugada syndrome through detailed description of the characteristic electrocardiographic findings, an algorithmic approach to electrocardiogram evaluation, and a case report of a patient with a previously missed diagnosis of Brugada syndrome. The essential concepts of epidemiology, pathophysiology, clinical presentation, risk stratification, and management are reviewed for critical care professionals who may encounter patients with the syndrome. Diagnosis: Patients typically present with syncope or cardiac arrest and an abnormal electrocardiographic finding of ST-segment elevation in the precordial leads. The diagnosis of Brugada syndrome centers on identification of its electrocardiographic characteristics by critical care professionals who routinely evaluate electrocardiograms. Critical care professionals, especially nurses and advanced practice nurses, should be proficient in recognizing the electrocardiographic appearance of Brugada syndrome and initiating appropriate management. Interventions: Management strategies include prevention of sudden cardiac death through lifestyle modification and placement of an implantable cardioverter-defibrillator. Critical care professionals should be aware of commonly used medications that may exacerbate ventricular arrhythmia and place patients at risk for sudden cardiac death. Conclusion: Increased awareness of Brugada syndrome among critical care professionals can decrease patient morbidity and mortality. pubtype: Academic Journal doctype: case study CEU review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|