array:25 [
  "pii" => "S2174204915001634"
  "issn" => "21742049"
  "doi" => "10.1016/j.repce.2015.07.009"
  "estado" => "S300"
  "fechaPublicacion" => "2015-07-01"
  "aid" => "654"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2013"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "crp"
  "cita" => "Rev Port Cardiol. 2015;34:493.e1-4"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3168
    "formatos" => array:3 [
      "EPUB" => 192
      "HTML" => 2368
      "PDF" => 608
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:20 [
      "pii" => "S0870255115001523"
      "issn" => "08702551"
      "doi" => "10.1016/j.repc.2014.12.007"
      "estado" => "S300"
      "fechaPublicacion" => "2015-07-01"
      "aid" => "654"
      "copyright" => "Sociedade Portuguesa de Cardiologia"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "crp"
      "cita" => "Rev Port Cardiol. 2015;34:493.e1-4"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 4100
        "formatos" => array:3 [
          "EPUB" => 208
          "HTML" => 3179
          "PDF" => 713
        ]
      ]
      "en" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
        "titulo" => "Natural history of Brugada syndrome in a patient with congenital heart disease"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "tieneResumen" => array:2 [
          0 => "en"
          1 => "pt"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "493&#46;e1"
            "paginaFinal" => "493&#46;e4"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "pt" => array:1 [
            "titulo" => "Hist&#243;ria natural da s&#237;ndrome de Brugada num doente com cardiopatia cong&#233;nita"
          ]
        ]
        "contieneResumen" => array:2 [
          "en" => true
          "pt" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figure 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 1485
                "Ancho" => 3000
                "Tamanyo" => 848228
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Patient&#39;s electrocardiogram at age 20&#44; documenting the appearance of complete right bundle branch block and ST-segment elevation in the right precordial leads&#44; suggesting type 1 Brugada syndrome&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Doroteia Silva, Fernando Maymone Martins, Diogo Cavaco, Pedro Adrag&#227;o, Margarida Matos Silva, Rui Anjos, &#193;lvaro Ferreira, Isabel Mendes Gaspar"
            "autores" => array:8 [
              0 => array:2 [
                "nombre" => "Doroteia"
                "apellidos" => "Silva"
              ]
              1 => array:2 [
                "nombre" => "Fernando"
                "apellidos" => "Maymone Martins"
              ]
              2 => array:2 [
                "nombre" => "Diogo"
                "apellidos" => "Cavaco"
              ]
              3 => array:2 [
                "nombre" => "Pedro"
                "apellidos" => "Adrag&#227;o"
              ]
              4 => array:2 [
                "nombre" => "Margarida"
                "apellidos" => "Matos Silva"
              ]
              5 => array:2 [
                "nombre" => "Rui"
                "apellidos" => "Anjos"
              ]
              6 => array:2 [
                "nombre" => "&#193;lvaro"
                "apellidos" => "Ferreira"
              ]
              7 => array:2 [
                "nombre" => "Isabel"
                "apellidos" => "Mendes Gaspar"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2174204915001634"
          "doi" => "10.1016/j.repce.2015.07.009"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915001634?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115001523?idApp=UINPBA00004E"
      "url" => "/08702551/0000003400000078/v1_201507290010/S0870255115001523/v1_201507290010/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S2174204915001646"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2015.07.010"
    "estado" => "S300"
    "fechaPublicacion" => "2015-07-01"
    "aid" => "656"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Rev Port Cardiol. 2015;34:495&#46;e1-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3223
      "formatos" => array:3 [
        "EPUB" => 169
        "HTML" => 2511
        "PDF" => 543
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
      "titulo" => "Failure to deliver a shock in a dual-chamber implantable cardioverter-defibrillator&#58; A case report"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "495&#46;e1"
          "paginaFinal" => "495&#46;e5"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Falha na entrega de choque num cardioversor-desfibrilhador implant&#225;vel&#58; caso cl&#237;nico"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 704
              "Ancho" => 1602
              "Tamanyo" => 89610
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">12-lead electrocardiogram revealing ventricular tachycardia&#44; with a rate response of approximately 170 bpm and a pattern of right bundle branch block&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Pedro A&#46; Sousa, Rui Candeias, Il&#237;dio Jesus"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Pedro A&#46;"
              "apellidos" => "Sousa"
            ]
            1 => array:2 [
              "nombre" => "Rui"
              "apellidos" => "Candeias"
            ]
            2 => array:2 [
              "nombre" => "Il&#237;dio"
              "apellidos" => "Jesus"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0870255115001547"
        "doi" => "10.1016/j.repc.2014.12.008"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115001547?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915001646?idApp=UINPBA00004E"
    "url" => "/21742049/0000003400000078/v1_201508050210/S2174204915001646/v1_201508050210/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S217420491500152X"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2015.06.008"
    "estado" => "S300"
    "fechaPublicacion" => "2015-07-01"
    "aid" => "649"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "ssu"
    "cita" => "Rev Port Cardiol. 2015;34:479-91"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 6461
      "formatos" => array:3 [
        "EPUB" => 168
        "HTML" => 5239
        "PDF" => 1054
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review article</span>"
      "titulo" => "Cardiovascular disease associated with human immunodeficiency virus&#58; A review"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "479"
          "paginaFinal" => "491"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Patologia cardiovascular associada ao v&#237;rus da imunodefici&#234;ncia humana"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0015"
          "etiqueta" => "Figure 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 1444
              "Ancho" => 1953
              "Tamanyo" => 261280
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Assessment of cardiovascular risk in HIV-positive individuals&#46; Adapted from European AIDS Clinical Society Guidelines Version 7&#46;1 &#8211; November 2014&#46;<a class="elsevierStyleCrossRef" href="#bib0840"><span class="elsevierStyleSup">68</span></a></p> <p id="spar0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">a</span> The Framingham equation can be used&#46; This assessment and the associated considerations outlined in this figure should be repeated annually in all persons under care&#46;</p> <p id="spar0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">b</span> Of the modifiable risk factors outlined&#44; drug treatment is reserved for certain subgroups where benefits are considered to outweigh potential harm&#46;</p> <p id="spar0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">c</span> Target levels are to be used as guidance and are not definitive &#8211; expressed as mmol&#47;l with mg&#47;dl in parentheses&#46;</p> <p id="spar0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">d</span> Evidence for benefit when used in persons without a history of CVD &#40;including diabetics&#41; is less compelling&#46; Blood pressure should be reasonably controlled before aspirin use in such a setting&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Lu&#237;sa Amado Costa, Ana G&#46; Almeida"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Lu&#237;sa"
              "apellidos" => "Amado Costa"
            ]
            1 => array:2 [
              "nombre" => "Ana G&#46;"
              "apellidos" => "Almeida"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "pt" => array:9 [
        "pii" => "S0870255115001328"
        "doi" => "10.1016/j.repc.2015.03.005"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "pt"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115001328?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217420491500152X?idApp=UINPBA00004E"
    "url" => "/21742049/0000003400000078/v1_201508050210/S217420491500152X/v1_201508050210/en/main.assets"
  ]
  "en" => array:20 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
    "titulo" => "Natural history of Brugada syndrome in a patient with congenital heart disease"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "493&#46;e1"
        "paginaFinal" => "493&#46;e4"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Doroteia Silva, Fernando Maymone Martins, Diogo Cavaco, Pedro Adrag&#227;o, Margarida Matos Silva, Rui Anjos, &#193;lvaro Ferreira, Isabel Mendes Gaspar"
        "autores" => array:8 [
          0 => array:4 [
            "nombre" => "Doroteia"
            "apellidos" => "Silva"
            "email" => array:1 [
              0 => "dojreis&#64;hotmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Fernando"
            "apellidos" => "Maymone Martins"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Diogo"
            "apellidos" => "Cavaco"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Pedro"
            "apellidos" => "Adrag&#227;o"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Margarida"
            "apellidos" => "Matos Silva"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Rui"
            "apellidos" => "Anjos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "&#193;lvaro"
            "apellidos" => "Ferreira"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Isabel"
            "apellidos" => "Mendes Gaspar"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:5 [
          0 => array:3 [
            "entidad" => "Servi&#231;o de Cardiologia I&#44; Hospital Universit&#225;rio de Santa Maria&#44; Centro Hospitalar Lisboa Norte&#44; Lisboa&#44; Portugal"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servi&#231;o de Cardiologia Pedi&#225;trica&#44; Hospital de Santa Cruz&#44; Centro Hospitalar Lisboa Ocidental&#44; Carnaxide&#44; Portugal"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servi&#231;o de Cardiologia&#44; Hospital de Santa Cruz&#44; Centro Hospitalar Lisboa Ocidental&#44; Carnaxide&#44; Portugal"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Servi&#231;o de Neuro-Psicologia&#44; Hospital Egas Moniz&#44; Centro Hospitalar Lisboa Ocidental&#44; Lisboa&#44; Portugal"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Cardiogen&#233;tica&#44; Servi&#231;o de Cardiologia Pedi&#225;trica&#44; Hospital de Santa Cruz&#44; Centro Hospitalar Lisboa Ocidental&#44; Carnaxide&#44; Portugal"
            "etiqueta" => "e"
            "identificador" => "aff0025"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Hist&#243;ria natural da s&#237;ndrome de Brugada num doente com cardiopatia cong&#233;nita"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1274
            "Ancho" => 1501
            "Tamanyo" => 312906
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Patient&#39;s first electrocardiogram&#44; at age 1 month&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Case report</span><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a young man&#44; aged 26&#44; monitored as a pediatric cardiology outpatient from birth for a perimembranous ventricular septal defect&#46; The patient&#39;s family history included sudden death of his maternal grandfather in the fifth decade of life&#44; and &#8220;arrhythmia&#8221; in his father&#44; controlled with propranolol&#46; The initial electrocardiogram &#40;ECG&#41;&#44; at age one month&#44; presented a predominance of R waves and ST depression in the right precordial leads &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#41;&#46; During follow-up&#44; the ventricular septal defect was observed to become restrictive and eventually closed spontaneously&#46; The patient progressed without complications until the age of 20&#44; at which time the ECG pattern changed&#44; with the appearance of complete right bundle branch block and ST-segment elevation in the right precordial leads &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;&#44; suggesting type I Brugada syndrome &#40;BrS&#41;&#46; The patient was monitored irregularly&#44; due to his good health and failure to attend appointments&#46; He appeared to remain asymptomatic until the age of 24&#44; when he presented a first episode of syncope&#44; at rest&#44; during the night&#44; not preceded by prodromal symptoms or fever and accompanied by tonic-clonic movements and sphincter incontinence&#46; This episode was initially interpreted as a seizure&#44; leading to a brief hospitalization&#46; Following this episode and in view of the ECG features&#44; an electrophysiological study was conducted&#44; during which sustained polymorphic ventricular tachycardia was induced&#46; A single-chamber implantable cardioverter-defibrillator &#40;ICD&#41; was implanted&#46; Three months later&#44; the patient suffered an episode of syncope followed by a shock&#46; Interrogation of the device revealed that the shock was appropriate and due to ventricular fibrillation&#46; The current monitoring period &#40;subsequent to ICD implantation&#41; has lasted for two years&#44; with no new episodes of arrhythmia to date&#44; and without drugs&#46; The patient and his family were referred to the cardiogenetics clinic for genetic counseling prior to the decision to conduct the molecular study&#44; and neuropsychological support was initiated&#46; As well as genetic counseling&#44; all family members underwent an ECG&#44; with normal results&#46; The patient&#39;s genetic study was conducted on the <span class="elsevierStyleItalic">SCN5A</span> gene&#44; which is responsible for 15&#8211;30&#37; of BrS mutations&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">1&#44;2</span></a> A pathogenic mutation in heterozygosity&#44; c&#46;3622G&#62;T &#40;p&#46;Glu1208X&#41;&#44; and the polymorphisms c&#46;87A&#62;G &#40;p&#46;Ala29Ala&#41; in homozygosity and c&#46;3183A&#62;G &#40;p&#46;Glu1061Glu&#41; and c&#46;5457T&#62;C &#40;p&#46;Asp1819Asp&#41; in heterozygosity were identified&#46; The variant c&#46;3841-24C&#62;T was also identified&#44; without clinical significance to date&#46; Molecular study of first-degree relatives is currently under way&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Discussion</span><p id="par0010" class="elsevierStylePara elsevierViewall">BrS is an autosomal dominant hereditary heart disease with incomplete penetrance and a mean prevalence of 5&#58;10<span class="elsevierStyleHsp" style=""></span>000 in Europe&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> The syndrome occurs more frequently in patients of Asian origin&#44; in particular in Japan and south-east Asia&#44; especially Thailand and the Philippines&#44; where prevalence is estimated at up to 12&#58;10<span class="elsevierStyleHsp" style=""></span>000&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">4</span></a> BrS is characterized by the presence of electrocardiographic changes &#40;incomplete right bundle branch block and ST-segment elevation in the right precordial leads&#41; and a tendency for sudden cardiac death caused by polymorphic ventricular tachycardia or ventricular fibrillation&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> The ECG alterations may not be always present&#44; surfacing as a result of fever&#44; the use of sodium channel blockers&#44; vagolytic agents&#44; beta-blockers and others&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> BrS is responsible for over 4&#37; of all sudden deaths and 20&#37; of sudden deaths in patients with structurally normal hearts&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> It is more frequent among males&#44; and the mean age for the first manifestations is 40&#44; although it can occur at younger ages&#44; as shown by the case under examination&#44; or older ages&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> The risk of sudden death in these patients over a 24-month period has been estimated at 8&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Molecular studies conducted in the late 1990s demonstrated a relationship between mutations in genes which encode ion channels and the existence of hereditary lethal arrhythmias&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a> In BrS&#44; mutations in 10 genes have been identified&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">4</span></a> Mutations in the <span class="elsevierStyleItalic">SCN5A</span> gene&#44; located in the 3p22 region&#44; responsible for encoding sodium channels&#44; are present in around 15&#8211;30&#37; of patients clinically diagnosed with BrS&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">1&#44;2&#44;5</span></a> This gene is also responsible for type 3 long QT syndrome&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">6</span></a> Mutations in this gene can result&#44; by different mechanisms&#44; in a reduction of the function or number of sodium channels in myocardial cell membranes&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">6</span></a> The disease&#39;s penetrance and expressivity are highly variable&#44; and thus different instruments for stratification of the syndrome&#39;s arrhythmic risk are needed&#46; There is currently no consensus on the best way to achieve this goal&#46; The following have been proposed as arrhythmic risk factors&#58; spontaneous ST-segment elevation &#40;type I&#41;&#44; existence of a previous episode of syncope or aborted sudden death&#44; documented &#40;spontaneous&#41; ventricular tachycardia&#44; and inducibility of sustained ventricular tachycardia by programmed ventricular stimulation&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">4</span></a> In this regard&#44; we highlight the importance of obtaining data pertaining to the natural history of the disease and family background of sudden death and arrhythmia&#44; in the context of which a medical genetics&#44; cardiology and arrhythmology team may help to identify relatives potentially at risk as well as asymptomatic mutation carriers&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">In this case&#44; regular evaluation of the patient&#39;s electrocardiogram and its changes over time led to diagnosis of the disease&#44; subsequently confirmed by genetic study&#46; The polymorphisms identified in the molecular study are already described non-pathogenic variants&#44; although variant c&#46;3841-24C&#62;T has never been described&#46; The significance of this variant for the BrS phenotype is unclear&#46; The pathogenic mutation p&#46;Glu1208X was recently described in a patient&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">7</span></a> It causes a premature stop codon &#40;truncation mutation&#41;&#44; leading to a 100&#37; reduction in sodium channel current&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">In all series published to date&#44; there have been no differences in terms of arrhythmic events when patients are divided according to the presence or absence of <span class="elsevierStyleItalic">SCN5A</span> mutations&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a> Meragalli et al&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">7</span></a> proposed&#44; for the first time&#44; that mutations causing a drastic reduction in sodium channel activity result in more severe phenotypes&#44; with a greater number of syncopes and longer PR intervals on the ECG&#46; It is possible that&#44; in the future&#44; molecular study of <span class="elsevierStyleItalic">SCN5A</span> mutations will enable identification of high-risk BrS patients&#46; The existence of common polymorphisms on the same gene may modulate the effect of BrS mutations&#44;<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">8&#44;9</span></a> modifying the phenotype&#46; Such polymorphisms could in the future be the target of new therapeutic interventions&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">We conclude that knowledge of the natural history of the disease and of the inter-relationship between phenotype and genotype are necessary to guide stratification of arrhythmic risk in BrS&#46; Clinical follow-up and treatment&#44; along with customized predictive and preventive intervention for patients and relatives&#44; should be conducted within the scope of a multidisciplinary team covering the fields of pediatric cardiology&#44; cardiology&#44; arrhythmology&#44; clinical psychology and medical genetics&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Ethical disclosures</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Protection of human and animal subjects</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Confidentiality of data</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Right to privacy and informed consent</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article&#46; The corresponding author is in possession of this document&#46;</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Conflicts of interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:10 [
        0 => array:3 [
          "identificador" => "xres538930"
          "titulo" => "Abstract"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0005"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec558600"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres538931"
          "titulo" => "Resumo"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0010"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec558599"
          "titulo" => "Palavras-chave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Case report"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Discussion"
        ]
        6 => array:3 [
          "identificador" => "sec0015"
          "titulo" => "Ethical disclosures"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0020"
              "titulo" => "Protection of human and animal subjects"
            ]
            1 => array:2 [
              "identificador" => "sec0025"
              "titulo" => "Confidentiality of data"
            ]
            2 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Right to privacy and informed consent"
            ]
          ]
        ]
        7 => array:2 [
          "identificador" => "sec0035"
          "titulo" => "Conflicts of interest"
        ]
        8 => array:2 [
          "identificador" => "xack182576"
          "titulo" => "Acknowledgments"
        ]
        9 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2013-11-30"
    "fechaAceptado" => "2014-12-30"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec558600"
          "palabras" => array:4 [
            0 => "Brugada syndrome"
            1 => "Electrocardiogram"
            2 => "<span class="elsevierStyleItalic">SCN5A</span> mutation"
            3 => "Sudden cardiac death"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec558599"
          "palabras" => array:4 [
            0 => "S&#237;ndrome de Brugada"
            1 => "Eletrocardiograma"
            2 => "Muta&#231;&#227;o SCN5A"
            3 => "Morte s&#250;bita"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Risk stratification of sudden death in patients with Brugada syndrome &#40;BrS&#41; is a controversial issue&#44; and there is currently no consensus on the best method&#46; Examination of data from the natural history of the disease is of fundamental importance and may help to identify relatives at risk&#46; At the same time&#44; study of the genetic mutations responsible for the disease may also contribute to risk stratification of the syndrome&#44; enabling identification of asymptomatic relatives carrying mutations&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This paper presents the case of a young man&#44; aged 26&#44; monitored as a pediatric cardiology outpatient from birth for a simple structural heart defect not requiring surgery&#46; Analysis of the evolution of the patient&#39;s electrocardiogram revealed the appearance&#44; at the age of 20&#44; of a pattern compatible with type I BrS&#46; Following an episode of syncope and induction of polymorphic ventricular tachycardia in the electrophysiological study&#44; a cardioverter-defibrillator was implanted&#46; One year later&#44; a single shock terminated an episode of ventricular fibrillation&#46; A molecular study of the <span class="elsevierStyleItalic">SCN5A</span> gene identified a rare mutation&#44; c&#46;3622G&#62;T &#40;p&#46;Glu1208X&#41;&#44; recently described and associated with more severe phenotypes in patients with BrS&#44; as in the case presented&#46;</p></span>"
      ]
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A estratifica&#231;&#227;o do risco de morte s&#250;bita nos doentes com s&#237;ndrome de Brugada &#40;SB&#41; &#233; um assunto controverso&#44; n&#227;o existindo atualmente consenso sobre a forma ideal de o fazer&#46; O estudo da hist&#243;ria natural da doen&#231;a &#233; fundamental e pode ajudar a identificar os familiares em risco&#46; Por outro lado&#44; o estudo das muta&#231;&#245;es gen&#233;ticas respons&#225;veis pela s&#237;ndrome pode contribuir para a estratifica&#231;&#227;o do risco&#44; identificando os familiares assintom&#225;ticos portadores de muta&#231;&#227;o&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Este artigo apresenta o caso de um jovem de 26 anos de idade&#44; seguido na consulta de Cardiologia Pedi&#225;trica desde o nascimento por um defeito card&#237;aco estrutural simples&#44; que resolveu espontaneamente&#46; A an&#225;lise evolucion&#225;ria do eletrocardiograma do doente documentou o aparecimento&#44; aos 20 anos de idade&#44; de um padr&#227;o compat&#237;vel com SB de tipo 1&#46; Ap&#243;s um epis&#243;dio de s&#237;ncope e indu&#231;&#227;o de taquicardia ventricular polim&#243;rfica no estudo electrofisiol&#243;gico&#44; foi implantado um cardioversor-desfibrilador&#46; Um ano depois&#44; um epis&#243;dio de fibrilha&#231;&#227;o ventricular foi terminado por um choque &#250;nico&#46; O estudo molecular do gene SCN5A identificou uma muta&#231;&#227;o rara &#91;c&#46;3622G&#62;&#40;p&#46;Glu1208X&#41;&#93;&#44; recentemente descrita e associada a fen&#243;tipos mais graves nos doentes com SB&#44; tal como no caso por n&#243;s apresentado&#46;</p></span>"
      ]
    ]
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1274
            "Ancho" => 1501
            "Tamanyo" => 312906
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Patient&#39;s first electrocardiogram&#44; at age 1 month&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 892
            "Ancho" => 1801
            "Tamanyo" => 456644
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Patient&#39;s electrocardiogram at age 20&#44; documenting the appearance of complete right bundle branch block and ST-segment elevation in the right precordial leads&#44; suggesting type 1 Brugada syndrome&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "BRUGADA SYNDROME 1&#59; BRGDA1&#46; Available at&#58; <a href="http://www.omim.org/entry/601144">http&#58;&#47;&#47;www&#46;omim&#46;org&#47;entry&#47;601144</a>&#46;"
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Brugada syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Brugada"
                            1 => "O&#46; Campuzano"
                            2 => "P&#46; Brugada"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:2 [
                        "fecha" => "2012"
                        "editorial" => "GeneReviews<span class="elsevierStyleSup">&#174;</span> &#91;Internet&#93;"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The genetic basis of Brugada syndrome&#58; a mutation update"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "P&#46; Hedley"
                            1 => "P&#46; Jorgensen"
                            2 => "S&#46; Schlamowitz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/humu.21066"
                      "Revista" => array:6 [
                        "tituloSerie" => "Hum Mutat"
                        "fecha" => "2009"
                        "volumen" => "30"
                        "paginaInicial" => "1256"
                        "paginaFinal" => "1266"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19606473"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Brugada syndrome 2012"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; Berne"
                            1 => "J&#46; Brugada"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Circ J"
                        "fecha" => "2012"
                        "volumen" => "76"
                        "paginaInicial" => "1563"
                        "paginaFinal" => "1571"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22789973"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical impact of genetic studies in lethal inherited cardiac arrhythmias"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "W&#46; Shimizu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Circ J"
                        "fecha" => "2008"
                        "volumen" => "72"
                        "paginaInicial" => "1926"
                        "paginaFinal" => "1936"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18981593"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Inherited Brugada and long QT-3 syndrome mutations of a single residue of the cardiac sodium channel confer distinct channel and clinical phenotypes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "I&#46; Rivolta"
                            1 => "H&#46; Abriel"
                            2 => "M&#46; Tateyama"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1074/jbc.M104471200"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Biol Chem"
                        "fecha" => "2001"
                        "volumen" => "276"
                        "paginaInicial" => "30623"
                        "paginaFinal" => "30630"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11410597"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Type of SCN5A mutation determines clinical severity and degree of conduction slowing in loss-of-function sodium channelopathies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "P&#46;G&#46; Meregalli"
                            1 => "H&#46;L&#46; Tan"
                            2 => "V&#46; Probst"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.hrthm.2008.11.009"
                      "Revista" => array:6 [
                        "tituloSerie" => "Heart Rhythm"
                        "fecha" => "2009"
                        "volumen" => "6"
                        "paginaInicial" => "341"
                        "paginaFinal" => "348"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19251209"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "SCN5A polymorphism restores trafficking of a Brugada syndrome mutation on a separate gene"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "S&#46; Poelzing"
                            1 => "C&#46; Forleo"
                            2 => "M&#46; Samodell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/CIRCULATIONAHA.105.601294"
                      "Revista" => array:6 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "2006"
                        "volumen" => "114"
                        "paginaInicial" => "368"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16864729"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Genetic modulation of Brugada syndrome by a common polymorphism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "E&#46; Lizotte"
                            1 => "M&#46;J&#46; Junttila"
                            2 => "M&#46;P&#46; Dube"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1540-8167.2009.01508.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cardiovasc Electrophysiol"
                        "fecha" => "2009"
                        "volumen" => "20"
                        "paginaInicial" => "1137"
                        "paginaFinal" => "1141"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19549036"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack182576"
        "titulo" => "Acknowledgments"
        "texto" => "<p id="par0055" class="elsevierStylePara elsevierViewall">The authors acknowledge the assistance of Instituto de Medicina Molecular&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21742049/0000003400000078/v1_201508050210/S2174204915001634/v1_201508050210/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9919"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case Reports"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003400000078/v1_201508050210/S2174204915001634/v1_201508050210/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915001634?idApp=UINPBA00004E"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Case report
Natural history of Brugada syndrome in a patient with congenital heart disease
História natural da síndrome de Brugada num doente com cardiopatia congénita
Doroteia Silvaa,
Corresponding author
dojreis@hotmail.com

Corresponding author.
, Fernando Maymone Martinsb, Diogo Cavacoc, Pedro Adragãoc, Margarida Matos Silvab, Rui Anjosb, Álvaro Ferreirad, Isabel Mendes Gaspare
a Serviço de Cardiologia I, Hospital Universitário de Santa Maria, Centro Hospitalar Lisboa Norte, Lisboa, Portugal
b Serviço de Cardiologia Pediátrica, Hospital de Santa Cruz, Centro Hospitalar Lisboa Ocidental, Carnaxide, Portugal
c Serviço de Cardiologia, Hospital de Santa Cruz, Centro Hospitalar Lisboa Ocidental, Carnaxide, Portugal
d Serviço de Neuro-Psicologia, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal
e Cardiogenética, Serviço de Cardiologia Pediátrica, Hospital de Santa Cruz, Centro Hospitalar Lisboa Ocidental, Carnaxide, Portugal
Read
5749
Times
was read the article
1689
Total PDF
4060
Total HTML
Share statistics
 array:25 [
  "pii" => "S2174204915001634"
  "issn" => "21742049"
  "doi" => "10.1016/j.repce.2015.07.009"
  "estado" => "S300"
  "fechaPublicacion" => "2015-07-01"
  "aid" => "654"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2013"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "crp"
  "cita" => "Rev Port Cardiol. 2015;34:493&#46;e1-4"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3168
    "formatos" => array:3 [
      "EPUB" => 192
      "HTML" => 2368
      "PDF" => 608
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:20 [
      "pii" => "S0870255115001523"
      "issn" => "08702551"
      "doi" => "10.1016/j.repc.2014.12.007"
      "estado" => "S300"
      "fechaPublicacion" => "2015-07-01"
      "aid" => "654"
      "copyright" => "Sociedade Portuguesa de Cardiologia"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "crp"
      "cita" => "Rev Port Cardiol. 2015;34:493&#46;e1-4"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 4100
        "formatos" => array:3 [
          "EPUB" => 208
          "HTML" => 3179
          "PDF" => 713
        ]
      ]
      "en" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
        "titulo" => "Natural history of Brugada syndrome in a patient with congenital heart disease"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "tieneResumen" => array:2 [
          0 => "en"
          1 => "pt"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "493&#46;e1"
            "paginaFinal" => "493&#46;e4"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "pt" => array:1 [
            "titulo" => "Hist&#243;ria natural da s&#237;ndrome de Brugada num doente com cardiopatia cong&#233;nita"
          ]
        ]
        "contieneResumen" => array:2 [
          "en" => true
          "pt" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figure 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 1485
                "Ancho" => 3000
                "Tamanyo" => 848228
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Patient&#39;s electrocardiogram at age 20&#44; documenting the appearance of complete right bundle branch block and ST-segment elevation in the right precordial leads&#44; suggesting type 1 Brugada syndrome&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Doroteia Silva, Fernando Maymone Martins, Diogo Cavaco, Pedro Adrag&#227;o, Margarida Matos Silva, Rui Anjos, &#193;lvaro Ferreira, Isabel Mendes Gaspar"
            "autores" => array:8 [
              0 => array:2 [
                "nombre" => "Doroteia"
                "apellidos" => "Silva"
              ]
              1 => array:2 [
                "nombre" => "Fernando"
                "apellidos" => "Maymone Martins"
              ]
              2 => array:2 [
                "nombre" => "Diogo"
                "apellidos" => "Cavaco"
              ]
              3 => array:2 [
                "nombre" => "Pedro"
                "apellidos" => "Adrag&#227;o"
              ]
              4 => array:2 [
                "nombre" => "Margarida"
                "apellidos" => "Matos Silva"
              ]
              5 => array:2 [
                "nombre" => "Rui"
                "apellidos" => "Anjos"
              ]
              6 => array:2 [
                "nombre" => "&#193;lvaro"
                "apellidos" => "Ferreira"
              ]
              7 => array:2 [
                "nombre" => "Isabel"
                "apellidos" => "Mendes Gaspar"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2174204915001634"
          "doi" => "10.1016/j.repce.2015.07.009"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915001634?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115001523?idApp=UINPBA00004E"
      "url" => "/08702551/0000003400000078/v1_201507290010/S0870255115001523/v1_201507290010/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S2174204915001646"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2015.07.010"
    "estado" => "S300"
    "fechaPublicacion" => "2015-07-01"
    "aid" => "656"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Rev Port Cardiol. 2015;34:495&#46;e1-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3223
      "formatos" => array:3 [
        "EPUB" => 169
        "HTML" => 2511
        "PDF" => 543
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
      "titulo" => "Failure to deliver a shock in a dual-chamber implantable cardioverter-defibrillator&#58; A case report"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "495&#46;e1"
          "paginaFinal" => "495&#46;e5"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Falha na entrega de choque num cardioversor-desfibrilhador implant&#225;vel&#58; caso cl&#237;nico"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 704
              "Ancho" => 1602
              "Tamanyo" => 89610
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">12-lead electrocardiogram revealing ventricular tachycardia&#44; with a rate response of approximately 170 bpm and a pattern of right bundle branch block&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Pedro A&#46; Sousa, Rui Candeias, Il&#237;dio Jesus"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Pedro A&#46;"
              "apellidos" => "Sousa"
            ]
            1 => array:2 [
              "nombre" => "Rui"
              "apellidos" => "Candeias"
            ]
            2 => array:2 [
              "nombre" => "Il&#237;dio"
              "apellidos" => "Jesus"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0870255115001547"
        "doi" => "10.1016/j.repc.2014.12.008"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115001547?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915001646?idApp=UINPBA00004E"
    "url" => "/21742049/0000003400000078/v1_201508050210/S2174204915001646/v1_201508050210/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S217420491500152X"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2015.06.008"
    "estado" => "S300"
    "fechaPublicacion" => "2015-07-01"
    "aid" => "649"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "ssu"
    "cita" => "Rev Port Cardiol. 2015;34:479-91"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 6461
      "formatos" => array:3 [
        "EPUB" => 168
        "HTML" => 5239
        "PDF" => 1054
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review article</span>"
      "titulo" => "Cardiovascular disease associated with human immunodeficiency virus&#58; A review"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "479"
          "paginaFinal" => "491"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Patologia cardiovascular associada ao v&#237;rus da imunodefici&#234;ncia humana"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0015"
          "etiqueta" => "Figure 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 1444
              "Ancho" => 1953
              "Tamanyo" => 261280
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Assessment of cardiovascular risk in HIV-positive individuals&#46; Adapted from European AIDS Clinical Society Guidelines Version 7&#46;1 &#8211; November 2014&#46;<a class="elsevierStyleCrossRef" href="#bib0840"><span class="elsevierStyleSup">68</span></a></p> <p id="spar0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">a</span> The Framingham equation can be used&#46; This assessment and the associated considerations outlined in this figure should be repeated annually in all persons under care&#46;</p> <p id="spar0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">b</span> Of the modifiable risk factors outlined&#44; drug treatment is reserved for certain subgroups where benefits are considered to outweigh potential harm&#46;</p> <p id="spar0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">c</span> Target levels are to be used as guidance and are not definitive &#8211; expressed as mmol&#47;l with mg&#47;dl in parentheses&#46;</p> <p id="spar0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">d</span> Evidence for benefit when used in persons without a history of CVD &#40;including diabetics&#41; is less compelling&#46; Blood pressure should be reasonably controlled before aspirin use in such a setting&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Lu&#237;sa Amado Costa, Ana G&#46; Almeida"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Lu&#237;sa"
              "apellidos" => "Amado Costa"
            ]
            1 => array:2 [
              "nombre" => "Ana G&#46;"
              "apellidos" => "Almeida"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "pt" => array:9 [
        "pii" => "S0870255115001328"
        "doi" => "10.1016/j.repc.2015.03.005"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "pt"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115001328?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217420491500152X?idApp=UINPBA00004E"
    "url" => "/21742049/0000003400000078/v1_201508050210/S217420491500152X/v1_201508050210/en/main.assets"
  ]
  "en" => array:20 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
    "titulo" => "Natural history of Brugada syndrome in a patient with congenital heart disease"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "493&#46;e1"
        "paginaFinal" => "493&#46;e4"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Doroteia Silva, Fernando Maymone Martins, Diogo Cavaco, Pedro Adrag&#227;o, Margarida Matos Silva, Rui Anjos, &#193;lvaro Ferreira, Isabel Mendes Gaspar"
        "autores" => array:8 [
          0 => array:4 [
            "nombre" => "Doroteia"
            "apellidos" => "Silva"
            "email" => array:1 [
              0 => "dojreis&#64;hotmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Fernando"
            "apellidos" => "Maymone Martins"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Diogo"
            "apellidos" => "Cavaco"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Pedro"
            "apellidos" => "Adrag&#227;o"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Margarida"
            "apellidos" => "Matos Silva"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Rui"
            "apellidos" => "Anjos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "&#193;lvaro"
            "apellidos" => "Ferreira"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Isabel"
            "apellidos" => "Mendes Gaspar"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:5 [
          0 => array:3 [
            "entidad" => "Servi&#231;o de Cardiologia I&#44; Hospital Universit&#225;rio de Santa Maria&#44; Centro Hospitalar Lisboa Norte&#44; Lisboa&#44; Portugal"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servi&#231;o de Cardiologia Pedi&#225;trica&#44; Hospital de Santa Cruz&#44; Centro Hospitalar Lisboa Ocidental&#44; Carnaxide&#44; Portugal"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servi&#231;o de Cardiologia&#44; Hospital de Santa Cruz&#44; Centro Hospitalar Lisboa Ocidental&#44; Carnaxide&#44; Portugal"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Servi&#231;o de Neuro-Psicologia&#44; Hospital Egas Moniz&#44; Centro Hospitalar Lisboa Ocidental&#44; Lisboa&#44; Portugal"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Cardiogen&#233;tica&#44; Servi&#231;o de Cardiologia Pedi&#225;trica&#44; Hospital de Santa Cruz&#44; Centro Hospitalar Lisboa Ocidental&#44; Carnaxide&#44; Portugal"
            "etiqueta" => "e"
            "identificador" => "aff0025"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Hist&#243;ria natural da s&#237;ndrome de Brugada num doente com cardiopatia cong&#233;nita"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1274
            "Ancho" => 1501
            "Tamanyo" => 312906
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Patient&#39;s first electrocardiogram&#44; at age 1 month&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Case report</span><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a young man&#44; aged 26&#44; monitored as a pediatric cardiology outpatient from birth for a perimembranous ventricular septal defect&#46; The patient&#39;s family history included sudden death of his maternal grandfather in the fifth decade of life&#44; and &#8220;arrhythmia&#8221; in his father&#44; controlled with propranolol&#46; The initial electrocardiogram &#40;ECG&#41;&#44; at age one month&#44; presented a predominance of R waves and ST depression in the right precordial leads &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#41;&#46; During follow-up&#44; the ventricular septal defect was observed to become restrictive and eventually closed spontaneously&#46; The patient progressed without complications until the age of 20&#44; at which time the ECG pattern changed&#44; with the appearance of complete right bundle branch block and ST-segment elevation in the right precordial leads &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;&#44; suggesting type I Brugada syndrome &#40;BrS&#41;&#46; The patient was monitored irregularly&#44; due to his good health and failure to attend appointments&#46; He appeared to remain asymptomatic until the age of 24&#44; when he presented a first episode of syncope&#44; at rest&#44; during the night&#44; not preceded by prodromal symptoms or fever and accompanied by tonic-clonic movements and sphincter incontinence&#46; This episode was initially interpreted as a seizure&#44; leading to a brief hospitalization&#46; Following this episode and in view of the ECG features&#44; an electrophysiological study was conducted&#44; during which sustained polymorphic ventricular tachycardia was induced&#46; A single-chamber implantable cardioverter-defibrillator &#40;ICD&#41; was implanted&#46; Three months later&#44; the patient suffered an episode of syncope followed by a shock&#46; Interrogation of the device revealed that the shock was appropriate and due to ventricular fibrillation&#46; The current monitoring period &#40;subsequent to ICD implantation&#41; has lasted for two years&#44; with no new episodes of arrhythmia to date&#44; and without drugs&#46; The patient and his family were referred to the cardiogenetics clinic for genetic counseling prior to the decision to conduct the molecular study&#44; and neuropsychological support was initiated&#46; As well as genetic counseling&#44; all family members underwent an ECG&#44; with normal results&#46; The patient&#39;s genetic study was conducted on the <span class="elsevierStyleItalic">SCN5A</span> gene&#44; which is responsible for 15&#8211;30&#37; of BrS mutations&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">1&#44;2</span></a> A pathogenic mutation in heterozygosity&#44; c&#46;3622G&#62;T &#40;p&#46;Glu1208X&#41;&#44; and the polymorphisms c&#46;87A&#62;G &#40;p&#46;Ala29Ala&#41; in homozygosity and c&#46;3183A&#62;G &#40;p&#46;Glu1061Glu&#41; and c&#46;5457T&#62;C &#40;p&#46;Asp1819Asp&#41; in heterozygosity were identified&#46; The variant c&#46;3841-24C&#62;T was also identified&#44; without clinical significance to date&#46; Molecular study of first-degree relatives is currently under way&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Discussion</span><p id="par0010" class="elsevierStylePara elsevierViewall">BrS is an autosomal dominant hereditary heart disease with incomplete penetrance and a mean prevalence of 5&#58;10<span class="elsevierStyleHsp" style=""></span>000 in Europe&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> The syndrome occurs more frequently in patients of Asian origin&#44; in particular in Japan and south-east Asia&#44; especially Thailand and the Philippines&#44; where prevalence is estimated at up to 12&#58;10<span class="elsevierStyleHsp" style=""></span>000&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">4</span></a> BrS is characterized by the presence of electrocardiographic changes &#40;incomplete right bundle branch block and ST-segment elevation in the right precordial leads&#41; and a tendency for sudden cardiac death caused by polymorphic ventricular tachycardia or ventricular fibrillation&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> The ECG alterations may not be always present&#44; surfacing as a result of fever&#44; the use of sodium channel blockers&#44; vagolytic agents&#44; beta-blockers and others&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> BrS is responsible for over 4&#37; of all sudden deaths and 20&#37; of sudden deaths in patients with structurally normal hearts&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> It is more frequent among males&#44; and the mean age for the first manifestations is 40&#44; although it can occur at younger ages&#44; as shown by the case under examination&#44; or older ages&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> The risk of sudden death in these patients over a 24-month period has been estimated at 8&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Molecular studies conducted in the late 1990s demonstrated a relationship between mutations in genes which encode ion channels and the existence of hereditary lethal arrhythmias&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a> In BrS&#44; mutations in 10 genes have been identified&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">4</span></a> Mutations in the <span class="elsevierStyleItalic">SCN5A</span> gene&#44; located in the 3p22 region&#44; responsible for encoding sodium channels&#44; are present in around 15&#8211;30&#37; of patients clinically diagnosed with BrS&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">1&#44;2&#44;5</span></a> This gene is also responsible for type 3 long QT syndrome&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">6</span></a> Mutations in this gene can result&#44; by different mechanisms&#44; in a reduction of the function or number of sodium channels in myocardial cell membranes&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">6</span></a> The disease&#39;s penetrance and expressivity are highly variable&#44; and thus different instruments for stratification of the syndrome&#39;s arrhythmic risk are needed&#46; There is currently no consensus on the best way to achieve this goal&#46; The following have been proposed as arrhythmic risk factors&#58; spontaneous ST-segment elevation &#40;type I&#41;&#44; existence of a previous episode of syncope or aborted sudden death&#44; documented &#40;spontaneous&#41; ventricular tachycardia&#44; and inducibility of sustained ventricular tachycardia by programmed ventricular stimulation&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">4</span></a> In this regard&#44; we highlight the importance of obtaining data pertaining to the natural history of the disease and family background of sudden death and arrhythmia&#44; in the context of which a medical genetics&#44; cardiology and arrhythmology team may help to identify relatives potentially at risk as well as asymptomatic mutation carriers&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">In this case&#44; regular evaluation of the patient&#39;s electrocardiogram and its changes over time led to diagnosis of the disease&#44; subsequently confirmed by genetic study&#46; The polymorphisms identified in the molecular study are already described non-pathogenic variants&#44; although variant c&#46;3841-24C&#62;T has never been described&#46; The significance of this variant for the BrS phenotype is unclear&#46; The pathogenic mutation p&#46;Glu1208X was recently described in a patient&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">7</span></a> It causes a premature stop codon &#40;truncation mutation&#41;&#44; leading to a 100&#37; reduction in sodium channel current&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">In all series published to date&#44; there have been no differences in terms of arrhythmic events when patients are divided according to the presence or absence of <span class="elsevierStyleItalic">SCN5A</span> mutations&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a> Meragalli et al&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">7</span></a> proposed&#44; for the first time&#44; that mutations causing a drastic reduction in sodium channel activity result in more severe phenotypes&#44; with a greater number of syncopes and longer PR intervals on the ECG&#46; It is possible that&#44; in the future&#44; molecular study of <span class="elsevierStyleItalic">SCN5A</span> mutations will enable identification of high-risk BrS patients&#46; The existence of common polymorphisms on the same gene may modulate the effect of BrS mutations&#44;<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">8&#44;9</span></a> modifying the phenotype&#46; Such polymorphisms could in the future be the target of new therapeutic interventions&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">We conclude that knowledge of the natural history of the disease and of the inter-relationship between phenotype and genotype are necessary to guide stratification of arrhythmic risk in BrS&#46; Clinical follow-up and treatment&#44; along with customized predictive and preventive intervention for patients and relatives&#44; should be conducted within the scope of a multidisciplinary team covering the fields of pediatric cardiology&#44; cardiology&#44; arrhythmology&#44; clinical psychology and medical genetics&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Ethical disclosures</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Protection of human and animal subjects</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Confidentiality of data</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Right to privacy and informed consent</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article&#46; The corresponding author is in possession of this document&#46;</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Conflicts of interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:10 [
        0 => array:3 [
          "identificador" => "xres538930"
          "titulo" => "Abstract"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0005"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec558600"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres538931"
          "titulo" => "Resumo"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0010"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec558599"
          "titulo" => "Palavras-chave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Case report"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Discussion"
        ]
        6 => array:3 [
          "identificador" => "sec0015"
          "titulo" => "Ethical disclosures"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0020"
              "titulo" => "Protection of human and animal subjects"
            ]
            1 => array:2 [
              "identificador" => "sec0025"
              "titulo" => "Confidentiality of data"
            ]
            2 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Right to privacy and informed consent"
            ]
          ]
        ]
        7 => array:2 [
          "identificador" => "sec0035"
          "titulo" => "Conflicts of interest"
        ]
        8 => array:2 [
          "identificador" => "xack182576"
          "titulo" => "Acknowledgments"
        ]
        9 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2013-11-30"
    "fechaAceptado" => "2014-12-30"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec558600"
          "palabras" => array:4 [
            0 => "Brugada syndrome"
            1 => "Electrocardiogram"
            2 => "<span class="elsevierStyleItalic">SCN5A</span> mutation"
            3 => "Sudden cardiac death"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec558599"
          "palabras" => array:4 [
            0 => "S&#237;ndrome de Brugada"
            1 => "Eletrocardiograma"
            2 => "Muta&#231;&#227;o SCN5A"
            3 => "Morte s&#250;bita"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Risk stratification of sudden death in patients with Brugada syndrome &#40;BrS&#41; is a controversial issue&#44; and there is currently no consensus on the best method&#46; Examination of data from the natural history of the disease is of fundamental importance and may help to identify relatives at risk&#46; At the same time&#44; study of the genetic mutations responsible for the disease may also contribute to risk stratification of the syndrome&#44; enabling identification of asymptomatic relatives carrying mutations&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This paper presents the case of a young man&#44; aged 26&#44; monitored as a pediatric cardiology outpatient from birth for a simple structural heart defect not requiring surgery&#46; Analysis of the evolution of the patient&#39;s electrocardiogram revealed the appearance&#44; at the age of 20&#44; of a pattern compatible with type I BrS&#46; Following an episode of syncope and induction of polymorphic ventricular tachycardia in the electrophysiological study&#44; a cardioverter-defibrillator was implanted&#46; One year later&#44; a single shock terminated an episode of ventricular fibrillation&#46; A molecular study of the <span class="elsevierStyleItalic">SCN5A</span> gene identified a rare mutation&#44; c&#46;3622G&#62;T &#40;p&#46;Glu1208X&#41;&#44; recently described and associated with more severe phenotypes in patients with BrS&#44; as in the case presented&#46;</p></span>"
      ]
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A estratifica&#231;&#227;o do risco de morte s&#250;bita nos doentes com s&#237;ndrome de Brugada &#40;SB&#41; &#233; um assunto controverso&#44; n&#227;o existindo atualmente consenso sobre a forma ideal de o fazer&#46; O estudo da hist&#243;ria natural da doen&#231;a &#233; fundamental e pode ajudar a identificar os familiares em risco&#46; Por outro lado&#44; o estudo das muta&#231;&#245;es gen&#233;ticas respons&#225;veis pela s&#237;ndrome pode contribuir para a estratifica&#231;&#227;o do risco&#44; identificando os familiares assintom&#225;ticos portadores de muta&#231;&#227;o&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Este artigo apresenta o caso de um jovem de 26 anos de idade&#44; seguido na consulta de Cardiologia Pedi&#225;trica desde o nascimento por um defeito card&#237;aco estrutural simples&#44; que resolveu espontaneamente&#46; A an&#225;lise evolucion&#225;ria do eletrocardiograma do doente documentou o aparecimento&#44; aos 20 anos de idade&#44; de um padr&#227;o compat&#237;vel com SB de tipo 1&#46; Ap&#243;s um epis&#243;dio de s&#237;ncope e indu&#231;&#227;o de taquicardia ventricular polim&#243;rfica no estudo electrofisiol&#243;gico&#44; foi implantado um cardioversor-desfibrilador&#46; Um ano depois&#44; um epis&#243;dio de fibrilha&#231;&#227;o ventricular foi terminado por um choque &#250;nico&#46; O estudo molecular do gene SCN5A identificou uma muta&#231;&#227;o rara &#91;c&#46;3622G&#62;&#40;p&#46;Glu1208X&#41;&#93;&#44; recentemente descrita e associada a fen&#243;tipos mais graves nos doentes com SB&#44; tal como no caso por n&#243;s apresentado&#46;</p></span>"
      ]
    ]
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1274
            "Ancho" => 1501
            "Tamanyo" => 312906
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Patient&#39;s first electrocardiogram&#44; at age 1 month&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 892
            "Ancho" => 1801
            "Tamanyo" => 456644
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Patient&#39;s electrocardiogram at age 20&#44; documenting the appearance of complete right bundle branch block and ST-segment elevation in the right precordial leads&#44; suggesting type 1 Brugada syndrome&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "BRUGADA SYNDROME 1&#59; BRGDA1&#46; Available at&#58; <a href="http://www.omim.org/entry/601144">http&#58;&#47;&#47;www&#46;omim&#46;org&#47;entry&#47;601144</a>&#46;"
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Brugada syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Brugada"
                            1 => "O&#46; Campuzano"
                            2 => "P&#46; Brugada"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:2 [
                        "fecha" => "2012"
                        "editorial" => "GeneReviews<span class="elsevierStyleSup">&#174;</span> &#91;Internet&#93;"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The genetic basis of Brugada syndrome&#58; a mutation update"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "P&#46; Hedley"
                            1 => "P&#46; Jorgensen"
                            2 => "S&#46; Schlamowitz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/humu.21066"
                      "Revista" => array:6 [
                        "tituloSerie" => "Hum Mutat"
                        "fecha" => "2009"
                        "volumen" => "30"
                        "paginaInicial" => "1256"
                        "paginaFinal" => "1266"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19606473"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Brugada syndrome 2012"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; Berne"
                            1 => "J&#46; Brugada"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Circ J"
                        "fecha" => "2012"
                        "volumen" => "76"
                        "paginaInicial" => "1563"
                        "paginaFinal" => "1571"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22789973"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical impact of genetic studies in lethal inherited cardiac arrhythmias"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "W&#46; Shimizu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Circ J"
                        "fecha" => "2008"
                        "volumen" => "72"
                        "paginaInicial" => "1926"
                        "paginaFinal" => "1936"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18981593"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Inherited Brugada and long QT-3 syndrome mutations of a single residue of the cardiac sodium channel confer distinct channel and clinical phenotypes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "I&#46; Rivolta"
                            1 => "H&#46; Abriel"
                            2 => "M&#46; Tateyama"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1074/jbc.M104471200"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Biol Chem"
                        "fecha" => "2001"
                        "volumen" => "276"
                        "paginaInicial" => "30623"
                        "paginaFinal" => "30630"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11410597"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Type of SCN5A mutation determines clinical severity and degree of conduction slowing in loss-of-function sodium channelopathies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "P&#46;G&#46; Meregalli"
                            1 => "H&#46;L&#46; Tan"
                            2 => "V&#46; Probst"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.hrthm.2008.11.009"
                      "Revista" => array:6 [
                        "tituloSerie" => "Heart Rhythm"
                        "fecha" => "2009"
                        "volumen" => "6"
                        "paginaInicial" => "341"
                        "paginaFinal" => "348"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19251209"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "SCN5A polymorphism restores trafficking of a Brugada syndrome mutation on a separate gene"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "S&#46; Poelzing"
                            1 => "C&#46; Forleo"
                            2 => "M&#46; Samodell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/CIRCULATIONAHA.105.601294"
                      "Revista" => array:6 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "2006"
                        "volumen" => "114"
                        "paginaInicial" => "368"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16864729"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Genetic modulation of Brugada syndrome by a common polymorphism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "E&#46; Lizotte"
                            1 => "M&#46;J&#46; Junttila"
                            2 => "M&#46;P&#46; Dube"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1540-8167.2009.01508.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cardiovasc Electrophysiol"
                        "fecha" => "2009"
                        "volumen" => "20"
                        "paginaInicial" => "1137"
                        "paginaFinal" => "1141"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19549036"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack182576"
        "titulo" => "Acknowledgments"
        "texto" => "<p id="par0055" class="elsevierStylePara elsevierViewall">The authors acknowledge the assistance of Instituto de Medicina Molecular&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21742049/0000003400000078/v1_201508050210/S2174204915001634/v1_201508050210/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9919"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case Reports"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003400000078/v1_201508050210/S2174204915001634/v1_201508050210/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915001634?idApp=UINPBA00004E"
]
Article information
ISSN: 21742049
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 5 3 8
2024 October 30 27 57
2024 September 45 20 65
2024 August 47 26 73
2024 July 35 26 61
2024 June 31 21 52
2024 May 31 18 49
2024 April 29 25 54
2024 March 41 17 58
2024 February 20 22 42
2024 January 26 24 50
2023 December 34 27 61
2023 November 30 19 49
2023 October 27 13 40
2023 September 22 19 41
2023 August 34 18 52
2023 July 26 9 35
2023 June 30 15 45
2023 May 40 24 64
2023 April 20 3 23
2023 March 33 22 55
2023 February 31 18 49
2023 January 25 15 40
2022 December 38 20 58
2022 November 48 23 71
2022 October 30 25 55
2022 September 25 23 48
2022 August 27 33 60
2022 July 22 29 51
2022 June 22 18 40
2022 May 31 25 56
2022 April 22 25 47
2022 March 25 29 54
2022 February 29 17 46
2022 January 22 20 42
2021 December 21 31 52
2021 November 29 33 62
2021 October 31 34 65
2021 September 17 29 46
2021 August 30 23 53
2021 July 25 31 56
2021 June 20 10 30
2021 May 24 30 54
2021 April 51 19 70
2021 March 46 13 59
2021 February 45 7 52
2021 January 12 13 25
2020 December 26 6 32
2020 November 26 13 39
2020 October 18 13 31
2020 September 36 6 42
2020 August 20 5 25
2020 July 34 9 43
2020 June 33 9 42
2020 May 41 6 47
2020 April 36 12 48
2020 March 34 8 42
2020 February 55 21 76
2020 January 23 6 29
2019 December 35 5 40
2019 November 24 10 34
2019 October 43 6 49
2019 September 19 9 28
2019 August 26 5 31
2019 July 40 11 51
2019 June 28 12 40
2019 May 30 16 46
2019 April 29 21 50
2019 March 28 10 38
2019 February 36 8 44
2019 January 17 10 27
2018 December 43 11 54
2018 November 187 15 202
2018 October 354 17 371
2018 September 89 13 102
2018 August 50 5 55
2018 July 29 9 38
2018 June 52 9 61
2018 May 53 9 62
2018 April 66 14 80
2018 March 38 9 47
2018 February 29 6 35
2018 January 36 6 42
2017 December 67 11 78
2017 November 48 7 55
2017 October 42 11 53
2017 September 44 11 55
2017 August 32 9 41
2017 July 33 15 48
2017 June 46 12 58
2017 May 34 10 44
2017 April 23 5 28
2017 March 28 55 83
2017 February 20 6 26
2017 January 29 2 31
2016 December 37 12 49
2016 November 29 5 34
2016 October 31 6 37
2016 September 19 10 29
2016 August 5 1 6
2016 July 13 8 21
2016 June 15 3 18
2016 May 10 7 17
2016 April 19 10 29
2016 March 23 19 42
2016 February 31 16 47
2016 January 29 22 51
2015 December 17 13 30
2015 November 39 9 48
2015 October 30 14 44
2015 September 42 15 57
2015 August 78 14 92
Show all

Follow this link to access the full text of the article

Idiomas
Revista Portuguesa de Cardiologia (English edition)
en pt

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

By checking that you are a health professional, you are stating that you are aware and accept that the Portuguese Journal of Cardiology (RPC) is the Data Controller that processes the personal information of users of its website, with its registered office at Campo Grande, n.º 28, 13.º, 1700-093 Lisbon, telephone 217 970 685 and 217 817 630, fax 217 931 095, and email revista@spc.pt. I declare for all purposes that the information provided herein is accurate and correct.