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World J Cardiol. Sep 26, 2017; 9(9): 737-741
Published online Sep 26, 2017. doi: 10.4330/wjc.v9.i9.737
Brugada type 1 electrocardiogram: Should we treat the electrocardiogram or the patient?
Pietro Delise, Giuseppe Allocca, Nadir Sitta
Pietro Delise, Division of Cardiology, Clinica Pederzoli, Peschiera SG, 37019 Verona, Italy
Giuseppe Allocca, Nadir Sitta, Division of Cardiology, Hospital of Conegliano, 31015 Treviso, Italy
Author contributions: Delise P was the guarantor of the study, prepared the figure and tables; Allocca G and Sitta N participated in the acquisition and interpretation of the data.
Conflict-of-interest statement: There are no conflicts of interest to report.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Pietro Delise, MD, Division of Cardiology, Clinica Pederzoli, Peschiera SG, Via Felisati 66, 37019 Verona, Italy. pietro.delise@libero.it
Telephone: +39-41-975205
Received: January 12, 2017
Peer-review started: January 16, 2017
First decision: April 27, 2017
Revised: July 6, 2017
Accepted: July 21, 2017
Article in press: July 24, 2017
Published online: September 26, 2017
Core Tip

Core tip: On the basis of frail risk factors, many cardiology centers adopt an aggressive treatment in subjects with a Brugada type 1 electrocardiogram pattern who are not at high risk. As a result, many healthy persons may be treated in order to save a few patients with a true Brugada Syndrome. Better risk stratification is needed, for example the adoption of a multiparametric approach.