Arrhythmias & electrophysiology

Genetic testing in children with Brugada syndrome: results from a large prospective registry

EuropacePublished Prospective registry study

Authors' conclusion

In a large BrS cohort, the diagnostic yield for P/LP variants in the paediatric population is 46%. P+ children with BrS have a worse arrhythmic prognosis.

Study context

Population
Consecutive patients diagnosed with Brugada syndrome with large gene panel testing and ACMG variant classification, UZ Brussel Brugada syndrome (BrS) registry, 1992–2022
Participants
29 / 34 / 63 / 437
Exposure
SCN5A P/LP variant carriers (P+) vs non-carriers (P-) in paediatric BrS; paediatric vs adult BrS
  • P+n = 29
  • P-n = 34reference
  • Paediatricn = 63
  • Adultn = 437reference
Outcome
Ventricular arrhythmias (VAs)
Follow-up
Mean 125.9 months
Methodological detailssingle-centre registry, consecutive patients
  • Single-centre registry
  • Consecutive patients

Main finding

As reported in the abstract

VAs (ICD shock)
  • P- paediatric patients had higher VA-free survival than P+ paediatric patients
  • P+ status was an independent predictor of VA

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Genetic testing in children with Brugada syndrome: results from a large prospective registry. Europace. Published 16 April 2023. doi:10.1093/europace/euad079

Composed by AI from the published abstract and checked against it. How Briefs are made →

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