Revista de Medicina Desportiva (English) November 2018 - Page 19

of the best Portuguese arrhythmolo- gists in our country. Dr. Ramon Brugada is chief cardiologist. He is director of the Familiar Cardiopathies Unit, Director of the Cardiovascular Genetics Labora- tory of the University Hospital Josep Trueta a Santa Catarina in Girona. He is Professor of Medicine of the Chair of Cardiovascular Diseases, University of Girona. He is Director the Cardiovascular Genetic Centre of the Biomedic Investigation Institute of Girona (IdIBGi), Girona, in Spain. Dr. Georgia Sar- quella started on 2011 the project Unidade de Car- diopatias Famil- iares e Morte Súbita e Car- diologia Intervencionista Pediátrica at the Hospital Sant Joan de Déu, in Barcelona (the unique national reference center for the treatment of pediatric arrhythmias established by Spanish Ministry of Health), She is also associated professor of cardiol- ogy at the University of Girona. She still has some time to invigorate the no-profit association Dead-related Arrhythmic Syndromes (SAMS), at a national level, with the aim to help patients and families with this syndrome. What is Brugada Syndrome? It is a canalopathy characterized by electric disturbances in a struc- turally normal heart. It was first described in 1993 by Josep Brugada and it is defined by a typical elec- trocardiographic pattern on the right precordium leads and by a susceptibility to the development of ventricular arrhythmias and sud- den dead. It is a well-studied clini- cal entity that allowed to identify several genetic mutations a better understanding the factors determin- ing the prognosis. It has a dominant autonomic transmission and it is estimated an incidence of about 5/10000, although it is considered underestimated. Types: Type I pattern (coved-type), char- acterized by a convex elevation of the ST segment, with elevation of the J point and of the ST segment equal or more than 2mm on more than one precordium lead (V1-V3), followed by negative T waves; Type II pattern, characterized by elevation of the ST segment equal or more than 2mm on the same precordium right leads, followed by positive or biphasic T wave resulting on a saddle pattern; Type III pattern, defined in the same way as the two before, this, it looks like to the previous patterns, but the elevation of the ST segment is equal or less than 1mm. The Brugada electrocardiographic phenotype or the Brugada elec- trocardiographic pattern type I is characterized by the ST segment elevation of ST>2mm (0,2mV) and it can have both superior convexity or rectilinear descendent, followed by a negative T wave on the right precor- dium leads (V1-V2) or at the antero- septal wall (V1-V3) (previous figure). We thank the medical / techni- cal collaboration of the doctor João J. Primo, a cardiac arrhythmologist of the CHVN Gaia-Espinho, EPE, Portugal. Consulted bibliography on october/2018 1. https://portugues.medscape.com/verar- tigo/6502194 2. https://www.sjdhospitalbarcelona.org/es/ josep-brugada-terradellas 3. http://www.policlinicamiramar.com/noti- ciasimg/cvcardio/CV%20Dr.%20Josep%20 Brugada%20para%20web.pdf 4. https://www.brugada.org/es/la-familia- -brugada.html 5. http://www.revespcardiol.org/en/brugada- -syndrome/articulo/13145482/ 6. http://www.fac.org.ar/qcvc/llave/c053p/ perezrierar.php 7. https://lifeinthefastlane.com/eponym/ pedro-brugada/ Revista de Medicina Desportiva informa november 2018 · 17