Shanghai score for Brugada syndrome

Shanghai score for Brugada syndrome Shanghai score system for diagnosis of Brugada syndrome was proposed at J Wave Syndromes Consensus Conference held at Shanghai in 2015 [1]. Participants included members of Heart Rhythm Society, the European Heart Rhythm Association and the Asian-Pacific Heart Rhythm Society. It was based on available literature and clinical experience of members of the task force. Scores were based on ECG parameters, clinical history, family history and the results of genetic testing. Highest points in the score was for a spontaneous Type I Brugada ECG which had 3.5 points. A probable pathogenic mutation in Brugada syndrome susceptibility gene had only 0.5 points. Fever induced type I Brugada pattern and unexplained cardiac arrest or documented ventricular fibrillation/polymorphic ventricular tachycardia had 3 points. Type 2 or 3 Brugada ECG pattern which converts with provocative drug challenge, nocturnal agonal respirations, suspected arrhythmic syncope and first degree or second degree relative with definite Brugada syndrome had 2 points each. Only the highest score in ECG and clinical history were awarded points. Syncope of unclear mechanism/etiology and suspicious sudden cardiac death in first or second degree relative had 1 point each. Atrial flutter/fibrillation in patients below the age of 30 years and unexplained sudden cardiac death before the age of 45 years in first/second degree relative with negative autopsy were allotted 0.5 points. If the t...
Source: Cardiophile MD - Category: Cardiology Authors: Tags: ECG / Electrophysiology Source Type: blogs