General: There is no cure for Brugada syndrome. Instead, treatment aims to reduce symptoms and prevent complications. Treatment guidelines for Brugada syndrome are specifically for patients who have experienced cardiac arrest, because asymptomatic patients typically do not receive medical care. When provided with an implantable defibrillator, total mortality in patients with Brugada syndrome has been 0% with up to 10 years of follow-up.
Artificial oxygen: The irregular heartbeat in Brugada syndrome may result in a lack of oxygen to the brain as a result of the heart's inability to pump blood through the body effectively. The first goal of treatment is to restore oxygen to the brain. The method of restoration depends on the cause of the hypoxia. For mild-to-moderate cases of hypoxia, removal of the cause may be sufficient. Inhaled oxygen may also be provided. In severe cases treatment may also involve life support and damage control measures.
Implantable cardioverter defibrillator: An implantable cardiac defibrillator (ICD) is currently the only treatment with proven efficacy to regulate electrical activity in the heart of individuals with Brugada syndrome. An ICD is connected to leads placed inside or on the surface of the heart. An ICD delivers electrical shocks, senses the rhythm of the heart, and may provide pacing for the heart. People with Brugada syndrome who have already experienced cardiac arrest should receive an ICD. Because many individuals with Brugada syndrome experience long intervals of good health, the implantation of an ICD may not be appropriate in all patients. It is typically reserved for those with recurring episodes of arrhythmia. Whether an ICD is used at all should be discussed in detail with a qualified healthcare professional.
Restriction on activity: Because certain types of physical activity may predispose people with Brugada syndrome to abnormal heart rhythms, these individuals are advised not to participate in competitive sports.
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