By Dr. Rahul Yadav , Pediatrics
Is your child experiencing disturbances and imbalance in heart rhythm? Has your child recently experienced blackouts and palpitations? These symptoms may indicate Bruguda syndrome in your child. Brugada syndrome is an inherited heart disorder, where the heart rhythm disturbance restricts the flow of sodium ions into the cells of the heart. This leads to disruption in the flow of electrical impulses through the heart. Although more common in adults, the syndrome also occurs in children.
The major symptoms of Brugada syndrome include blackouts due to rhythmic disturbance of the heart and palpitations. In many cases, no symptoms are experienced at all.
Diagnosis of Brugada syndrome might be difficult. There are several diagnostic tests, which have to be carried out.
ECG is the primary test that must be carried out. By performing an ECG, the differences in waveforms, which indicate Brugada syndrome can be observed and obtained. Small stickers known as electrodes are stuck onto the arms, legs and chest. They are connected to the ECG machine by wires. In case the difference of waveforms does not appear on the ECG, a certain medicine has to be injected while your heart’s rhythm is monitored continuously. This medicine helps in the provocation of waveform changes, which would help in the diagnosis of Brugada syndrome. The tests have to be repeated for proper diagnosis.
The doctor might also carry out a genetic test for the screening of inherited gene mutations, which might have caused Brugada syndrome in your child. In case the results show a positive mutation, other members should be tested as well.
There are several procedures for treating Brugada syndrome. If the symptoms are experienced, there is a greater risk and your doctor may recommend the fitting of an ICD or Implantable Cardioverter Defibrillator. If the ECG report is abnormal, but symptoms are not experienced, the doctor will ask for an electrophysiological study for deciding whether an ICD lift is required or not. Patients having a normal ECG and experiencing no symptoms do not require an ICD and are at a lesser risk. High body temperature can make the ECG changes worse. In case the affected child has a high temperature, medicines should be taken to lower it. Brugada syndrome is common among people of South East Asian origin and occurs rarely in children. Severe conditions of Brugada syndrome may lead to cardiac death. It is essential to consult a doctor for fast diagnosis and proper treatment of this disease.