When the dual-chamber pacing system is the optimal choice for Brugada patients in need of ICD

Abstract

This letter discusses key points from Esposito et al.'s case report on a Brugada Syndrome (BrS) patient treated with S-ICD and later TV-ICD due to recurrent syncope. It highlights the significance of asystole in BrS-related. Additionally, it recommends dual-chamber TV-ICD systems with CLS algorithms for optimal management, citing their efficacy in reducing syncopal recurrences. Finally, it underscores the importance of considering reflex bradyarrhythmias in device selection for BrS patients at increased sudden cardiac death risk.