High-risk Brugada Syndrome: Factors Associated with Arrhythmia Recurrence and Benefits of Epicardial Ablation in Addition to ICD implantation.
Vincenzo SantinelliGiuseppe CiconteFrancesco MangusoLuigi AnastasiaEmanuele MicaglioZarko CalovicGabriele VicedominiBeniamino MazzaMattia VecchiValerio MecarocciEmanuela T LocatiAntonio BoccellinoGabriele NegroAntonio NapolanoLuigi GiannelliCarlo PapponePublished in: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology (2024)
Our study underscores the role of BrS substrate extent as a crucial prognostic factor for recurrent VF and validates the safety and efficacy of RFA when compared to a No-RFA group. Our findings highlight the importance of ajmaline in guiding epicardial mapping/ablation in symptomatic BrS patients, laying the groundwork for further exploration of non-invasive methods to guide informed clinical decision-making.