Bristol Royal Hospital for Children UK How are you preparing to manage your next young patient with BrS Brugada Syndrome ID: 1007334
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1. M. Cecilia Gonzalez CorciaBristol Royal Hospital for ChildrenUK How are you preparing to manage your next young patient with BrS? Brugada Syndrome Minimizing Overdiagnosis and Over Treatment in Children
2. Brugada Syndrome Minimizing Overdiagnosis and Over Treatment in Children Purpose the review Summarise new contributions towards the understanding of the broad spectrum of manifestations of BrS Screening of the asymptomatic patient referred due to family historyAsymptomatic child presenting with a spontaneous and/or drug induced type I ECGYoung patient with early clinical expression of the diseasePatient presenting with potentially lethal arrhythmias and/or SCD dur to BrS
3. Brugada Syndrome Minimizing Overdiagnosis and Over Treatment in Children Recent findings Specific features of pediatric BrS Risk related to a positive family history of SCDAssessment of severe/ repetitive syncope Multiple diagnostic challenges of the diseaseNon invasive diagnostic tools12 lead ECG with high precordial leadsHolters/ Implantable loop recordersExercise testControversial aspects of the stratificationProvocative test: how and when?Role of invasive risk stratification in the young Genetic testing in this age groupRole and concerns
4. Brugada Syndrome Minimizing Overdiagnosis and Over Treatment in Children Main key to minimize overdiagnosis and overtreatment in the young population with a personal and/or family diagnosis of BrS: perform a systematic but also individualized assessment. Need for age-appropriate diagnostic guidelines and risk stratification algorithms for young patients both with suspected and confirmed BrS.