Brugada Risk Score: Explanation and Clinical Context The Brugada Risk Score, developed by Brugada et al. in 2010, is a clinical tool designed to stratify the risk of sudden cardiac death (SCD) in patients with Brugada Syndrome.
It incorporates key predictors: spontaneous Type 1 ECG pattern, history of syncope, family history of SCD, fragmented QRS, and early repolarization in inferolateral leads. Each variable is assigned a weight based on its prognostic value.
The total score helps clinicians identify high-risk patients who may benefit from implantable cardioverter-defibrillator (ICD) therapy and guides management decisions.
Reference:
Brugada J, Brugada P, Mont L, et al. Natural history of Brugada syndrome: insights for risk stratification. Circulation. 2010;121:635-643. doi:10.1161/CIRCULATIONAHA.109.887940