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