Fever-related arrhythmic events in the multicenter Survey on Arrhythmic Events in Brugada Syndrome

The literature on fever-related arrhythmic events (AEs) in Brugada syndrome (BrS) is currently limited to few case reports and small series. The present study aimed to describe the characteristics of fever-related AE in a large cohort of patients with BrS. The Survey on Arrhythmic Events in Brugada...

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Vydané v:	Heart rhythm Ročník 15; číslo 9; s. 1394
Hlavní autori:	Michowitz, Yoav, Milman, Anat, Sarquella-Brugada, Georgia, Andorin, Antoine, Champagne, Jean, Postema, Pieter G, Casado-Arroyo, Ruben, Leshem, Eran, Juang, Jimmy J M, Giustetto, Carla, Tfelt-Hansen, Jacob, Wijeyeratne, Yanushi D, Veltmann, Christian, Corrado, Domenico, Kim, Sung-Hwan, Delise, Pietro, Maeda, Shingo, Gourraud, Jean-Baptiste, Sacher, Frederic, Mabo, Philippe, Takahashi, Yoshihide, Kamakura, Tsukasa, Aiba, Takeshi, Conte, Giulio, Hochstadt, Aviram, Mizusawa, Yuka, Rahkovich, Michael, Arbelo, Elena, Huang, Zhengrong, Denjoy, Isabelle, Napolitano, Carlo, Brugada, Ramon, Calo, Leonardo, Priori, Silvia G, Takagi, Masahiko, Behr, Elijah R, Gaita, Fiorenzo, Yan, Gan-Xin, Brugada, Josep, Leenhardt, Antoine, Wilde, Arthur A M, Brugada, Pedro, Kusano, Kengo F, Hirao, Kenzo, Nam, Gi-Byoung, Probst, Vincent, Belhassen, Bernard
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	United States 01.09.2018
Predmet:	Adolescent Adult Aged Brugada Syndrome - complications Brugada Syndrome - physiopathology Child Child, Preschool Electrocardiography Female Fever - complications Humans Infant Infant, Newborn Male Middle Aged Prognosis Surveys and Questionnaires Ventricular Fibrillation - etiology Ventricular Fibrillation - physiopathology Young Adult Ethnicity Children Brugada syndrome Elderly Fever Sex
ISSN:	1556-3871, 1556-3871
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Abstract	The literature on fever-related arrhythmic events (AEs) in Brugada syndrome (BrS) is currently limited to few case reports and small series. The present study aimed to describe the characteristics of fever-related AE in a large cohort of patients with BrS. The Survey on Arrhythmic Events in Brugada Syndrome is a multicenter study on 678 patients with BrS with first AE documented at the time of aborted cardiac arrest (n = 426) or after prophylactic implantable cardioverter-defibrillator implantation (n = 252). In 35 of 588 patients (6%) with available information, the AE occurred during a febrile illness. Most of the 35 patients were male (80%), Caucasian (83%), and proband (70%). The mean age at the time of AE was 29 ± 24 years (range 0.3-76 years). Most patients (80%) presented with aborted cardiac arrest and 6 (17%) with arrhythmic storm. Family history of sudden death, history of syncope, and spontaneous type 1 Brugada electrocardiogram were noted in 17%, 40%, and 71% of patients, respectively. Ventricular fibrillation was induced at electrophysiology study in 9 of 19 patients (47%). An SCN5A mutation was found in 14 of 28 patients (50%). The highest proportion of fever-related AE was observed in the pediatric population (age <16 years), with a disproportionally higher event rate in the very young (age 0-5 years) (65%). Males were involved in all age groups and females only in the pediatric and elderly groups. Fever-related AE affected 17 Caucasians aged <24 years, but no Asians aged <24 years. The risk of fever-related AE in BrS markedly varies according to age group, sex, and ethnicity. Taking these factors into account could help the clinical management of patients with BrS with fever.
AbstractList	The literature on fever-related arrhythmic events (AEs) in Brugada syndrome (BrS) is currently limited to few case reports and small series.BACKGROUNDThe literature on fever-related arrhythmic events (AEs) in Brugada syndrome (BrS) is currently limited to few case reports and small series.The present study aimed to describe the characteristics of fever-related AE in a large cohort of patients with BrS.OBJECTIVEThe present study aimed to describe the characteristics of fever-related AE in a large cohort of patients with BrS.The Survey on Arrhythmic Events in Brugada Syndrome is a multicenter study on 678 patients with BrS with first AE documented at the time of aborted cardiac arrest (n = 426) or after prophylactic implantable cardioverter-defibrillator implantation (n = 252).METHODSThe Survey on Arrhythmic Events in Brugada Syndrome is a multicenter study on 678 patients with BrS with first AE documented at the time of aborted cardiac arrest (n = 426) or after prophylactic implantable cardioverter-defibrillator implantation (n = 252).In 35 of 588 patients (6%) with available information, the AE occurred during a febrile illness. Most of the 35 patients were male (80%), Caucasian (83%), and proband (70%). The mean age at the time of AE was 29 ± 24 years (range 0.3-76 years). Most patients (80%) presented with aborted cardiac arrest and 6 (17%) with arrhythmic storm. Family history of sudden death, history of syncope, and spontaneous type 1 Brugada electrocardiogram were noted in 17%, 40%, and 71% of patients, respectively. Ventricular fibrillation was induced at electrophysiology study in 9 of 19 patients (47%). An SCN5A mutation was found in 14 of 28 patients (50%). The highest proportion of fever-related AE was observed in the pediatric population (age <16 years), with a disproportionally higher event rate in the very young (age 0-5 years) (65%). Males were involved in all age groups and females only in the pediatric and elderly groups. Fever-related AE affected 17 Caucasians aged <24 years, but no Asians aged <24 years.RESULTSIn 35 of 588 patients (6%) with available information, the AE occurred during a febrile illness. Most of the 35 patients were male (80%), Caucasian (83%), and proband (70%). The mean age at the time of AE was 29 ± 24 years (range 0.3-76 years). Most patients (80%) presented with aborted cardiac arrest and 6 (17%) with arrhythmic storm. Family history of sudden death, history of syncope, and spontaneous type 1 Brugada electrocardiogram were noted in 17%, 40%, and 71% of patients, respectively. Ventricular fibrillation was induced at electrophysiology study in 9 of 19 patients (47%). An SCN5A mutation was found in 14 of 28 patients (50%). The highest proportion of fever-related AE was observed in the pediatric population (age <16 years), with a disproportionally higher event rate in the very young (age 0-5 years) (65%). Males were involved in all age groups and females only in the pediatric and elderly groups. Fever-related AE affected 17 Caucasians aged <24 years, but no Asians aged <24 years.The risk of fever-related AE in BrS markedly varies according to age group, sex, and ethnicity. Taking these factors into account could help the clinical management of patients with BrS with fever.CONCLUSIONThe risk of fever-related AE in BrS markedly varies according to age group, sex, and ethnicity. Taking these factors into account could help the clinical management of patients with BrS with fever. The literature on fever-related arrhythmic events (AEs) in Brugada syndrome (BrS) is currently limited to few case reports and small series. The present study aimed to describe the characteristics of fever-related AE in a large cohort of patients with BrS. The Survey on Arrhythmic Events in Brugada Syndrome is a multicenter study on 678 patients with BrS with first AE documented at the time of aborted cardiac arrest (n = 426) or after prophylactic implantable cardioverter-defibrillator implantation (n = 252). In 35 of 588 patients (6%) with available information, the AE occurred during a febrile illness. Most of the 35 patients were male (80%), Caucasian (83%), and proband (70%). The mean age at the time of AE was 29 ± 24 years (range 0.3-76 years). Most patients (80%) presented with aborted cardiac arrest and 6 (17%) with arrhythmic storm. Family history of sudden death, history of syncope, and spontaneous type 1 Brugada electrocardiogram were noted in 17%, 40%, and 71% of patients, respectively. Ventricular fibrillation was induced at electrophysiology study in 9 of 19 patients (47%). An SCN5A mutation was found in 14 of 28 patients (50%). The highest proportion of fever-related AE was observed in the pediatric population (age <16 years), with a disproportionally higher event rate in the very young (age 0-5 years) (65%). Males were involved in all age groups and females only in the pediatric and elderly groups. Fever-related AE affected 17 Caucasians aged <24 years, but no Asians aged <24 years. The risk of fever-related AE in BrS markedly varies according to age group, sex, and ethnicity. Taking these factors into account could help the clinical management of patients with BrS with fever.
Author	Rahkovich, Michael Hochstadt, Aviram Probst, Vincent Michowitz, Yoav Corrado, Domenico Milman, Anat Postema, Pieter G Yan, Gan-Xin Takahashi, Yoshihide Kamakura, Tsukasa Leenhardt, Antoine Kim, Sung-Hwan Arbelo, Elena Veltmann, Christian Brugada, Josep Leshem, Eran Aiba, Takeshi Denjoy, Isabelle Andorin, Antoine Priori, Silvia G Wilde, Arthur A M Wijeyeratne, Yanushi D Gaita, Fiorenzo Delise, Pietro Mabo, Philippe Casado-Arroyo, Ruben Calo, Leonardo Takagi, Masahiko Huang, Zhengrong Giustetto, Carla Tfelt-Hansen, Jacob Sacher, Frederic Mizusawa, Yuka Juang, Jimmy J M Sarquella-Brugada, Georgia Hirao, Kenzo Behr, Elijah R Champagne, Jean Kusano, Kengo F Belhassen, Bernard Gourraud, Jean-Baptiste Brugada, Ramon Nam, Gi-Byoung Conte, Giulio Napolitano, Carlo Brugada, Pedro Maeda, Shingo
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Electronic address: bblhass@gmail.com
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Snippet	The literature on fever-related arrhythmic events (AEs) in Brugada syndrome (BrS) is currently limited to few case reports and small series. The present study... The literature on fever-related arrhythmic events (AEs) in Brugada syndrome (BrS) is currently limited to few case reports and small series.BACKGROUNDThe...
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SubjectTerms	Adolescent Adult Aged Brugada Syndrome - complications Brugada Syndrome - physiopathology Child Child, Preschool Electrocardiography Female Fever - complications Humans Infant Infant, Newborn Male Middle Aged Prognosis Surveys and Questionnaires Ventricular Fibrillation - etiology Ventricular Fibrillation - physiopathology Young Adult
Title	Fever-related arrhythmic events in the multicenter Survey on Arrhythmic Events in Brugada Syndrome
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