{"id":4975,"date":"2019-10-23T21:14:57","date_gmt":"2019-10-23T21:14:57","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=2240"},"modified":"2026-01-28T18:49:44","modified_gmt":"2026-01-28T18:49:44","slug":"diagnostic-criteria-for-the-brugada-syndrome-brs","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/diagnostic-criteria-for-the-brugada-syndrome-brs\/","title":{"rendered":"Criterios Diagn\u00f3stico del S\u00edndrome de Brugada"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>El s\u00edndrome de Brugada (SBr) es un s\u00edndrome de arritmia hereditario raro que conduce a un mayor riesgo de muerte s\u00fabita card\u00edaca, a pesar de un coraz\u00f3n estructuralmente normal. El diagn\u00f3stico se basa en un patr\u00f3n de electrocardiograma espec\u00edfico, observado espont\u00e1neamente o durante una prueba de bloqueo del canal de sodio.<!--more--><\/p>\n<p>El SBr se diagnostica definitivamente cuando se observa una elevaci\u00f3n del segmento ST tipo I, ya sea espont\u00e1neamente o despu\u00e9s de la administraci\u00f3n intravenosa de un agente bloqueante del canal de sodio (ajmalina, flecainida, pilsicainida o procainamida) en al menos una derivaci\u00f3n precordial derecho (V1 y V2), que se colocan en una posici\u00f3n est\u00e1ndar o superior (hasta el segundo espacio intercostal).<\/p>\n<p><strong>Recomendaciones del consenso de expertos sobre el diagn\u00f3stico del s\u00edndrome de Brugada<\/strong><\/p>\n<ol>\n<li>BrS se diagnostica en pacientes con elevaci\u00f3n del segmento ST con morfolog\u00eda tipo 1 \u22652 mm en \u22651 derivaci\u00f3n entre las derivaciones precordiales derechas V1, V2, ubicadas en el segundo, tercer o cuarto espacio intercostal, ya sea de forma espont\u00e1nea o despu\u00e9s de una prueba de drogas provocativas con v\u00eda intravenosa administraci\u00f3n de f\u00e1rmacos antiarr\u00edtmicos de clase I.<\/li>\n<li>BrS se diagnostica en pacientes con elevaci\u00f3n del segmento ST tipo 2 o tipo 3 en \u22651 derivaci\u00f3n entre las derivaciones precordiales derechas V1, V2 ubicadas en el segundo, tercer o cuarto espacio intercostal cuando se realiza una prueba de drogas provocativas con administraci\u00f3n intravenosa de f\u00e1rmacos antiarr\u00edtmicos de clase I. induce una morfolog\u00eda de ECG de tipo I.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Gourraud JB, Barc J, Thollet A, Le Marec H, Probst V. Brugada syndrome: Diagnosis, risk stratification and management.\u00a0Arch Cardiovasc Dis. 2017 Mar;110(3):188-195. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28139454\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Priori SG, Wilde AA, Horie M, et al. HRS\/EHRA\/APHRS Expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes: Document endorsed by HRS, EHRA, and APHRS in May 2013 and by ACCF, AHA, PACES, and AEPC in June 2013. Heart Rhythm. 2013;10:1932\u20131963. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24011539\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Wilde AA, Antzelevitch C, Borggrefe M, Brugada J, Brugada R, Brugada P, Corrado D, Hauer RN, Kass RS, Nademanee K, Priori SG, Towbin JA; Study Group on the Molecular Basis of Arrhythmias of the European Society of Cardiology. Proposed diagnostic criteria for the Brugada syndrome: consensus report.\u00a0Circulation. 2002 Nov 5;106(19):2514-9. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12417552\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Bhardwaj P, Stavnem D, Jacobsen SB, Winkel BG, Tfelt-Hansen J. Current perspectives on risk prediction and genetic basis of Brugada syndrome. Front Cardiovasc Med. 2025 Dec 12;12:1722105. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41458990\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Oct 21, 2019.<br \/>\nActualizado Ene 28, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El s\u00edndrome de Brugada (SBr) es un s\u00edndrome de arritmia hereditario raro que conduce a un mayor riesgo de muerte s\u00fabita card\u00edaca, a pesar de un coraz\u00f3n estructuralmente normal. El diagn\u00f3stico se basa en un patr\u00f3n de electrocardiograma espec\u00edfico, observado espont\u00e1neamente o durante una prueba de bloqueo del canal de sodio.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[33,16,15,14,13,5,4],"class_list":["post-4975","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-brugada","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-sindrome","tag-syndrome"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/4975","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=4975"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/4975\/revisions"}],"predecessor-version":[{"id":10597,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/4975\/revisions\/10597"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=4975"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=4975"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=4975"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}