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Brugada syndrome is associated with scar and endocardial involvement: Insights from high-density mapping with the Rhythmia™ mapping system

Providência, R; Carmo, P; Moscoso Costa, F; Cavaco, D; Morgado, F; Scanavacca, M; Adragão, P; (2017) Brugada syndrome is associated with scar and endocardial involvement: Insights from high-density mapping with the Rhythmia™ mapping system. Revista Portuguesa de Cardiologia , 36 (10) 773.e1-773.e4. 10.1016/j.repc.2017.08.004. Green open access

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Abstract

The authors report the first catheter ablation of Brugada syndrome in the literature using the Rhythmia™ mapping system. Learning points include: (1) low voltage areas can be documented while mapping in some individuals, suggesting that Brugada syndrome may not be a pure ion channel disorder; (2) typical long fractionated potentials can also be identified in the endocardium, supporting the need to map the endocardium in all Brugada patients requiring ablation; (3) disappearance of the typical coved pattern following ablation does not necessarily predict cure, as the patient we present experienced ventricular fibrillation recurrence a few months later.

Type: Article
Title: Brugada syndrome is associated with scar and endocardial involvement: Insights from high-density mapping with the Rhythmia™ mapping system
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.repc.2017.08.004
Publisher version: http://doi.org/10.1016/j.repc.2017.08.004
Language: English
Additional information: © 2017 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U.. Content is licensed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) Licence (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords: Brugadasyndrome; Channelopathies; Epicardialablation; Mapping systems; Rhythmia
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics
URI: https://discovery.ucl.ac.uk/id/eprint/10057440
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