Arrhythmias & electrophysiology

Vagal response is involved in the occurrence of ventricular fibrillation in patients with early repolarization syndrome

Heart RhythmPublished Observational cohort study

Main finding · ERSResult — go to the resultHazard ratio 1.52 95% CI 1.031–3.061

Authors' conclusion

Our findings suggest that in patients with ERS, an exaggerated vagal response, as represented by increased BaReS indices, may be involved in the risk of VF occurrence.

Study context

Population
Patients with early repolarization syndrome (ERS) or Brugada syndrome (BruS) who received an ICD
Exposure
Recurrent ventricular fibrillation (VF) vs nonrecurrent VF in ERS and BruS
  • ERSn = 16
  • BruSn = 34
  • Recurrent VFn = 20
Outcome
Relationship between VF occurrence and autonomic nervous activity (baroreflex sensitivity, heart rate variability)

Main finding

ERS

Hazard ratio

1.52

95% CI 1.031–3.061

P = 0.032

High BaReS
HR 1.52 (95% CI 1.031–3.061); P = 0.032

As reported in the abstract

Observational data: associations, not effects.

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

Original publication

Vagal response is involved in the occurrence of ventricular fibrillation in patients with early repolarization syndrome. Heart Rhythm. Published 2 March 2023. doi:10.1016/j.hrthm.2023.02.029

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