Cardionerds: A Cardiology Podcast

395. Beyond the Boards: Channelopathies with Dr. Michael Ackerman

34 snips
Oct 10, 2024
Dr. Michael Ackerman, a genetic cardiologist and professor at Mayo Clinic, joins the discussion on channelopathies. They dive into Brugada syndrome and the critical role of genetic testing and family screening in diagnosis. The conversation extends to long QT syndrome, emphasizing tailored treatment strategies based on specific genetic profiles. Additionally, the potential of AI in improving the diagnosis and management of these conditions is explored, spotlighting advancements that enhance patient care through accurate data integration.
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ADVICE

Brugada Syndrome Diagnosis

  • Don't equate a type 1 Brugada ECG pattern to a Brugada syndrome diagnosis.
  • Consider clinical/family history and genetic testing for a definitive diagnosis.
INSIGHT

Brugada Syndrome Genetics

  • Only SCN5A loss-of-function variants have strong evidence for Brugada syndrome.
  • Focus on SCN5A, even if other genes are on the test panel.
ADVICE

EP Study in Brugada Syndrome

  • Consider EP study for risk stratification in Brugada syndrome, but it's optional.
  • Use a double stimulation protocol during the EP study and consider genetic testing.
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