Advertisement
Letter to the Editor| Volume 168, ISSUE 3, P3027-3029, October 03, 2013

Prognostic value of programmed ventricular stimulation in Brugada syndrome according to clinical presentation: An updated meta-analysis of worldwide published data

  • Laurent Fauchier
    Correspondence
    Corresponding author at: Service de Cardiologie B., Centre Hospitalier Universitaire Trousseau, 37044 Tours, France. Tel.: +33 2 47 47 46 50; fax: +33 2 47 47 59 19.
    Affiliations
    Cardiologie B, Pole Cœur Thorax Vasculaire, Centre Hospitalier Universitaire Trousseau, et Faculté de Médecine, Université Francois Rabelais, Tours, France
    Search for articles by this author
  • Marc Antoine Isorni
    Affiliations
    Cardiologie B, Pole Cœur Thorax Vasculaire, Centre Hospitalier Universitaire Trousseau, et Faculté de Médecine, Université Francois Rabelais, Tours, France
    Search for articles by this author
  • Nicolas Clementy
    Affiliations
    Cardiologie B, Pole Cœur Thorax Vasculaire, Centre Hospitalier Universitaire Trousseau, et Faculté de Médecine, Université Francois Rabelais, Tours, France
    Search for articles by this author
  • Bertrand Pierre
    Affiliations
    Cardiologie B, Pole Cœur Thorax Vasculaire, Centre Hospitalier Universitaire Trousseau, et Faculté de Médecine, Université Francois Rabelais, Tours, France
    Search for articles by this author
  • Edouard Simeon
    Affiliations
    Cardiologie B, Pole Cœur Thorax Vasculaire, Centre Hospitalier Universitaire Trousseau, et Faculté de Médecine, Université Francois Rabelais, Tours, France
    Search for articles by this author
  • Dominique Babuty
    Affiliations
    Cardiologie B, Pole Cœur Thorax Vasculaire, Centre Hospitalier Universitaire Trousseau, et Faculté de Médecine, Université Francois Rabelais, Tours, France
    Search for articles by this author
      The Brugada syndrome (BS) has been recognized as a cause of ventricular fibrillation (VF) and sudden death [
      • Brugada P.
      • Brugada J.
      Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome. A multicenter report.
      ]. The appropriate indication for ICD implantation is problematic for asymptomatic patients or symptomatic patients with syncope or palpitations in the absence of a history of cardiac arrest. The implantation of an ICD in asymptomatic patients is proposed in case of positive programmed ventricular stimulation (PVS) during electrophysiologic testing [
      • Antzelevitch C.
      • Brugada P.
      • Borggrefe M.
      • et al.
      Brugada syndrome: report of the second consensus conference.
      ]. However, the usefulness of PVS for risk stratification remains controversial [
      • Priori S.G.
      • Napolitano C.
      • Gasparini M.
      • et al.
      Natural history of Brugada syndrome: insights for risk stratification and management.
      ,
      • Brugada J.
      • Brugada R.
      • Brugada P.
      Electrophysiologic testing predicts events in Brugada syndrome patients.
      ,
      • Wilde A.A.
      • Viskin S.
      EP testing does not predict cardiac events in Brugada syndrome.
      ,
      • Paul M.
      • Gerss J.
      • Schulze-Bahr E.
      • et al.
      Role of programmed ventricular stimulation in patients with Brugada syndrome: a meta-analysis of worldwide published data.
      ].

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to International Journal of Cardiology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Brugada P.
        • Brugada J.
        Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome. A multicenter report.
        J Am Coll Cardiol. 1992; 20: 1391-1396
        • Antzelevitch C.
        • Brugada P.
        • Borggrefe M.
        • et al.
        Brugada syndrome: report of the second consensus conference.
        Heart Rhythm. 2005; 2: 429-440
        • Priori S.G.
        • Napolitano C.
        • Gasparini M.
        • et al.
        Natural history of Brugada syndrome: insights for risk stratification and management.
        Circulation. 2002; 105: 1342-1347
        • Brugada J.
        • Brugada R.
        • Brugada P.
        Electrophysiologic testing predicts events in Brugada syndrome patients.
        Heart Rhythm. 2011; 8: 1595-1597
        • Wilde A.A.
        • Viskin S.
        EP testing does not predict cardiac events in Brugada syndrome.
        Heart Rhythm. 2011; 8: 1598-1600
        • Paul M.
        • Gerss J.
        • Schulze-Bahr E.
        • et al.
        Role of programmed ventricular stimulation in patients with Brugada syndrome: a meta-analysis of worldwide published data.
        Eur Heart J. 2007; 28: 2126-2133
        • Stroup D.F.
        • Berlin J.A.
        • Morton S.C.
        • et al.
        Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group.
        JAMA. 2000; 283: 2008-2012
        • Gehi A.K.
        • Duong T.D.
        • Metz L.D.
        • Gomes J.A.
        • Mehta D.
        Risk stratification of individuals with the Brugada electrocardiogram: a meta-analysis.
        J Cardiovasc Electrophysiol. 2006; 17: 577-583
        • Zipes D.P.
        • Camm A.J.
        • Borggrefe M.
        • et al.
        ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death–executive summary: a report of the American College of Cardiology/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death) Developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society.
        Eur Heart J. 2006; 27: 2099-2140
        • Naccarelli G.V.
        • Prystowsky E.N.
        • Jackman W.M.
        • Heger J.J.
        • Rahilly G.T.
        • Zipes D.P.
        Role of electrophysiologic testing in managing patients who have ventricular tachycardia unrelated to coronary artery disease.
        Am J Cardiol. 1982; 50: 165-171