Arteriovenous fistula: Understanding for proper handling!
Dr. Luong Sy Bac's review on arteriovenous fistula is a rare vascular disease that can be silently asymptomatic but also has serious complications.
Currently, cardiovascular disease is the leading cause of death worldwide. Prominent among them are the causes of coronary artery disease and arrhythmia. There are types of arrhythmias of long-lasting and chronic nature. Some arrhythmias are emergency, life-threatening conditions. These arrhythmias are usually ventricular arrhythmias. They often occur in a group of high-risk subjects, with underlying cardiovascular disease… In this article, we learn about an arrhythmia that can cause sudden death: Brugada syndrome. In this syndrome, arrhythmias can cause sudden death if not previously noted.
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What is Brugada syndrome?
Genetic traits
What is the risk of Brugada syndrome?
Due to the genetic mutation origin and not related to the heart structure, complications of Brugada HC can occur in people with a healthy history. Although the disease is rare, it is very dangerous, with a high mortality rate if it causes dangerous arrhythmias. The most common complications of the disease are:
See more: Cardiovascular disease – Do you really know and understand it correctly?
Who is at risk for Brugada syndrome?
HC brugada appeared unexpectedly and without warning signs. Therefore, it is necessary to carefully screen people with risk factors for timely intervention. The nature of gene mutation is due to each person's location, so in other words, the risk factor is the condition for expressing this gene outside the body. People with the following characteristics have a higher risk of experiencing Brugada syndrome:
What are the signs of Brugada syndrome?
Many people with Brugada syndrome go undiagnosed. Because this problem usually doesn't cause any noticeable signs or symptoms. The most important sign of Brugada syndrome is the abnormal heart rhythm seen on the electrocardiogram - ECG. Brugada sign may be present but not Brugada syndrome. However, signs and symptoms that may mean you have Brugada syndrome include:
Brugada syndrome has signs and symptoms similar to some other heart rhythm problems. Therefore, it is necessary to carefully investigate to get the correct and reasonable intervention.
See more: Tips on how to prevent bradycardia
Fainting is a common symptom
Classification of Brugada's syndrome
Classification of Brugada syndrome based on electrocardiographic findings. There are 3 types of Brugada HC, the most dangerous is type 1. The criteria are as follows:
Type 1 has a severe prognosis and indicates earlier intervention or the other type.
How is Brugada syndrome diagnosed?
A full diagnosis of Brugada syndrome requires a combination of history, clinical examination and laboratory tests.
QUESTIONS OF DISEASE
CLINICAL EXAMINATION
TEST
Tests used in the diagnosis of Brugada syndrome are:
How is Brugada syndrome treated?
Treatment for Brugada syndrome depends on the risk of serious arrhythmias. The risk is high if the patient has:
If you don't have any symptoms, no specific treatment is needed because the risk is low. However, motivating factors should be avoided by:
DEVELOPMENT TREATMENTS
If life-saving after cardiac arrest or worrisome symptoms, more intensive treatment is needed:
Electrophysiological ablation
How to monitor patients with Brugada syndrome?
Brugagda syndrome is a rare but potentially serious illness. In particular, the disease may have no warning symptoms in healthy people. When an arrhythmia occurs, the mortality rate is high due to the lack of timely intervention. Current treatment methods are very effective. Early detection, risk control and prompt treatment are the keys to managing Brugada syndrome.
Doctor Luong Si Bac
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