Brugada Syndrome.
The Condition.
Brugada Syndrome is a rare inherited heart condition that affects the way electrical signals are passed through the heart. It is caused by a disruption of the flow of sodium or potassium ions into the heart cells. The condition can cause abnormal heart rhythms (arrhythmias), making the heart beat dangerously fast; in some cases it can cause sudden cardiac death. The Syndrome can be difficult to diagnose and is sometimes overlooked. It is known to be more common in men of South-East Asian heritage. If a parent has Brugada Syndrome, their child will have a 50:50 chance of inheriting it.
Common Symptoms.
Symptoms of Brugada Syndrome can include:
Light-headedness and dizziness
Palpitations
Blackouts or seizures
Symptoms of Brugada Syndrome can be triggered by a drinking large amounts of alcohol, dehydration or fevers.
Unfortunately, in some cases the first sign or symptom of a heart condition can be a sudden cardiac arrest. If somebody becomes unconscious and is not breathing, call 999, start CPR immediately and ask someone to go and get a defibrillator.
Common Testing.
An ECG is the main test used to diagnose Brugada Syndrome, though an infusion of a drug called Ajmaline is sometimes also used at the same time as the ECG, as it can reveal the changes in heart tracings typical of the condition. A ‘provocative test’ is often also performed, in which a medicine is given and the ECG is carefully monitored, as this can alter the ECG complexes and help make a clear diagnosis. Genetic testing can be used, but it is still in its infancy for this condition, so clinical diagnosis is much more likely.
How is it treated.
Patients can manage some symptoms of the condition by avoiding drinking too much alcohol and ensuring they never become dehydrated. In addition, they must try to regulate their body temperature - high temperatures can be lowered by taking paracetamol or ibuprofen. Depending on the severity of the condition, cardiologists may advise that an ICD is fitted.
Cardiac Risk in the Young (CRY).
Jay’s AIM supports the work of Cardiac Risk in the Young (CRY). CRY holds cardiac screening sessions in locations all over the UK; these sessions are unique for offering an electrocardiogram (ECG) and an echocardiogram, when needed, on the same day. The sessions are free to attend for anyone between the ages of 14 and 35. Crucially, any abnormalities highlighted at a screening session must be followed up with thorough assessment and screening at an Inherited Cardiac Condition (ICC) Clinic.