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Brugada Syndrome Caused by Autonomic Dysfunction in Multiple Sclerosis
Joint Authors
Ibrahim, Michel
Saint-Croix, Garly
Colombo, Rosario
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-07
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Only one case report has previously described a patient with multiple sclerosis and a type 1 Brugada pattern on the electrocardiogram.
Patients with multiple sclerosis have several neurological deficits including sensory symptoms, acute or subacute motor weakness, gait disturbance, and balance problems that may lead to an increased risk of falls.
Concurrent autonomic dysfunction and neurologic consequences of multiple sclerosis may precipitate both mechanical falls and falls with loss of consciousness.
While mechanistically different, the type 1 Brugada pattern presents similarly with syncope due to an insufficient cardiac output during dysrhythmia.
In such patients, intracardiac defibrillators have shown to prevent sudden cardiac death in patients with the Brugada syndrome.
In light of these similarly presenting but unique clinical entities, MS patients who develop a syncopal event in the setting of a spontaneous type I Brugada pattern pose a diagnostic and therapeutic dilemma.
This case illustrates an approach to the risks and benefits of an ICD placement in an MS patient with the type 1 Brugada pattern.
American Psychological Association (APA)
Ibrahim, Michel& Saint-Croix, Garly& Colombo, Rosario. 2019. Brugada Syndrome Caused by Autonomic Dysfunction in Multiple Sclerosis. Case Reports in Cardiology،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1133688
Modern Language Association (MLA)
Ibrahim, Michel…[et al.]. Brugada Syndrome Caused by Autonomic Dysfunction in Multiple Sclerosis. Case Reports in Cardiology No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1133688
American Medical Association (AMA)
Ibrahim, Michel& Saint-Croix, Garly& Colombo, Rosario. Brugada Syndrome Caused by Autonomic Dysfunction in Multiple Sclerosis. Case Reports in Cardiology. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1133688
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1133688