Arrhythmias & electrophysiology

Epicardial substrate ablation in patients with symptomatic Brugada syndrome: An updated systematic review and single-arm meta-analysis

Heart RhythmPublished Systematic review and single-arm meta-analysis of cohort studies

Authors' conclusion

Epicardial substrate ablation shows promise for patients with BrS experiencing BrS-triggered ventricular arrhythmias, offering therapeutic efficacy with an acceptable safety profile.

Study context

Population
Patients with symptomatic Brugada syndrome undergoing epicardial substrate ablation
Participants
555 patients13 cohort studies
Outcome
Resolution of type 1 Brugada electrocardiographic (ECG) pattern; elimination of abnormal electrograms (pooled proportions)
Methodological detailsrandom-effects proportional meta-analysis, PRISMA
  • Random-effects proportional meta-analysis
  • PRISMA

Pooled result

As reported in the abstract

Resolution of type 1 pattern

91%

95% CI 80–98%; I2 = 86%

Elimination of abnormal electrograms

91%

95% CI 78–99%; I2 = 74%

Original publication

Epicardial substrate ablation in patients with symptomatic Brugada syndrome: An updated systematic review and single-arm meta-analysis. Heart Rhythm. Published 10 January 2025. doi:10.1016/j.hrthm.2025.01.006

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