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The Brugada syndrome: clinical, genetic, cellular, and molecular abnormalities
Gerald V Naccarelli, MD, Charles Antzelevitch, PhD The American Journal of Medicine Volume 110, Issue 7, Pages (May 2001) DOI: /S (01)
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Figure 1 Twelve-lead electrocardiogram demonstrating right bundle branch block and ST segment elevation in the right precordial leads in a patient with Brugada syndrome. Reprinted with permission from Circulation(41). The American Journal of Medicine , DOI: ( /S (01) )
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Figure 2 Mutations in the cardiac sodium gene SCN5A from different arrhythmic syndromes. In the Brugada syndrome, a splicing error at the donor site of intron 7 affects the first transmembrane segment of domain I (6). In Lenegre’s disease, a splicing error at exon 22 is associated with the disease (17). In long QT3, there is a delta KPQ deletion at position 1505–1507 in the intercellular linker between domains III and IV (27). Reprinted with permission from J Cardiovasc Electrophysiol(66). The American Journal of Medicine , DOI: ( /S (01) )
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Figure 3 Schematic showing right ventricular epicardial action potential changes thought to underlie the electrocardiographic manifestation of the Brugada syndrome. Modified from Eur Heart J(67), with permission. The American Journal of Medicine , DOI: ( /S (01) )
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Figure 4 Cellular mechanisms proposed to underlie arrhythmogenesis in the Brugada syndrome. The American Journal of Medicine , DOI: ( /S (01) )
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Figure 5 Antiarrhythmic provocation of right bundle branch block and ST segment elevation in the right precordial leads by intravenous ajmaline in a patient with Brugada syndrome whose baseline electrocardiogram (left panel) demonstrated no electrocardiographic abnormalities. Panels 2 through 8 are changes noted over 5 minutes after intravenous ajmaline. The last panel on the right shows resolution of changes 10 minutes after administration of the drug. Modified from Am J Cardiol(64), with permission. The American Journal of Medicine , DOI: ( /S (01) )
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