Brugada syndrome

Last reviewed

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ORPHA:130OMIM:601144I49.8
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8Active trials33Specialists8Treatment centers1Financial resources

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UniteRare data is sourced from FDA.gov, ClinicalTrials.gov, Orphanet, OMIM, and NORD.
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Overview

Brugada syndrome is a rare but serious heart condition that affects the electrical system of the heart. It causes an abnormal heart rhythm (arrhythmia) that can lead to sudden cardiac arrest, especially during sleep or rest. The heart itself looks structurally normal — the problem is in how electrical signals travel through it. This is sometimes called a 'channelopathy,' meaning the tiny channels that control electrical flow in heart muscle cells do not work properly. Many people with Brugada syndrome have no symptoms at all and only find out they have it after a routine ECG (electrocardiogram) shows a distinctive abnormal pattern. Others may experience fainting spells, heart palpitations, or irregular heartbeats. In some cases, the first sign is a life-threatening cardiac event. Symptoms are more common in men than women, and episodes often happen at night or during a fever. The main treatment is an implantable cardioverter-defibrillator (ICD), a small device placed under the skin that can detect and correct dangerous heart rhythms automatically. Certain medications like quinidine may also help in some patients. Avoiding triggers such as fever, certain drugs, and excessive alcohol is an important part of managing the condition. With proper monitoring and treatment, many people with Brugada syndrome live full, active lives.

Also known as:

Key symptoms:

Fainting or passing out, especially at rest or during sleepHeart palpitations or a racing, fluttering heartbeatIrregular heartbeat (arrhythmia)Dizziness or lightheadednessShortness of breath at nightSeizure-like episodes caused by abnormal heart rhythmSudden cardiac arrest (in severe cases)No symptoms at all (many people are asymptomatic)Chest discomfort or pressureNighttime breathing difficulties

Clinical phenotype terms (12)— hover any for plain English
Cardiac arrestHP:0001695Complete right bundle branch blockHP:0011712ST segment elevationHP:0012251Ventricular fibrillationHP:0001663Paroxysmal ventricular tachycardiaHP:0004751Supraventricular tachycardiaHP:0004755Sick sinus syndromeHP:0011704First degree atrioventricular blockHP:0011705Ventricular arrhythmiaHP:0004308Trifascicular blockHP:0011715
Inheritance

Autosomal dominant

Passed on from just one parent; each child has about a 50% chance of inheriting it

Age of Onset

Adult

Begins in adulthood (age 18 or older)

Orphanet ↗OMIM ↗NORD ↗

FDA & Trial Timeline

10 events
Jan 2026Analysis of the Presence and Cardiac Functional Effects of Anti-NaV1.5 Autoantibodies in Patients With Metastatic Tumors

IRCCS Policlinico S. Donato — NA

TrialNOT YET RECRUITING
Sep 2025Empagliflozin as a Potential Therapeutic Solution for Patients With Brugada Syndrome

National Taiwan University Hospital — PHASE2

TrialNOT YET RECRUITING
May 2025DNA Methylation in Brugada Syndrome and Risk of Sudden Cardiac Death

University of Campania Luigi Vanvitelli

TrialNOT YET RECRUITING
Dec 2024GenLab: Unveiling the Genetic Landscape of Brugada Syndrome: Novel Biomarker Discovery for Precise Diagnosis

IRCCS Policlinico S. Donato

TrialRECRUITING
Sep 2024Unmasking Concealed Arrhythmia Syndromes

Imperial College London

TrialRECRUITING
Feb 2023Brugada Syndrome Substrate Characterization and Ablation

Maria Cecilia Hospital — NA

TrialRECRUITING
Mar 2021Clinical Cohort Study - TRUST

Universitätsklinikum Hamburg-Eppendorf

TrialRECRUITING
Nov 2020Epicardial Radiofrequency Catheter Ablation in Patients With Brugada Syndrome: a Randomized, Sham-controlled, Masked Clinical Trial

University of Sao Paulo General Hospital — NA

TrialACTIVE NOT RECRUITING
Oct 2017China Inherited Ventricular Arrhythmias Registry

China National Center for Cardiovascular Diseases

TrialRECRUITING
Oct 2017Distribution of Cell-cell Junction Proteins in Arrhythmic Disorders

St. George's Hospital, London

TrialACTIVE NOT RECRUITING

Data sourced from FDA regulatory filings and ClinicalTrials.gov. Updated periodically.

Treatments

No FDA-approved treatments are currently listed for Brugada syndrome.

8 clinical trialsare actively recruiting — trials can provide access to cutting-edge therapies.

View clinical trials →

Clinical Trials

8 recruitingView all trials with filters →
N/A2 trials
Epicardial Radiofrequency Catheter Ablation in Patients With Brugada Syndrome: a Randomized, Sham-controlled, Masked Clinical Trial
N/A
Active
· Sites: São Paulo, São Paulo · Age: 1870 yrs
Brugada Syndrome Substrate Characterization and Ablation
N/A
Actively Recruiting
PI: Saverio Iacopino, MD (Maria Cecilia Hospital) · Sites: Cotignola, Ravenna · Age: 1899 yrs
Other6 trials
Clinical Cohort Study - TRUST
Actively Recruiting
PI: Paulus Kirchhof, MD (Universitätsklinikum Hamburg-Eppendorf) · Sites: Hamburg · Age: 1899 yrs
Derivation of Human Induced Pluripotent Stem (iPS) Cells to Heritable Cardiac Arrhythmias
Enrolling by Invitation
PI: Andreas Barth, MD (Johns Hopkins University) · Sites: Baltimore, Maryland · Age: 1885 yrs
UZ Brussel HRMC Registry of Brugada Syndrome
Actively Recruiting
· Sites: Brussels · Age: 18100 yrs
Unmasking Concealed Arrhythmia Syndromes
Actively Recruiting
PI: Zachary Whinnett, PhD (Imperial College London) · Sites: London · Age: 18100 yrs
GenLab: Unveiling the Genetic Landscape of Brugada Syndrome: Novel Biomarker Discovery for Precise Diagnosis
Actively Recruiting
· Sites: San Donato Milanese, Milan · Age: 1899 yrs
Distribution of Cell-cell Junction Proteins in Arrhythmic Disorders
Active
PI: Angeliki Asimaki (St George's, University of London) · Sites: London · Age: 1899 yrs

Specialists

Showing 25 of 33View all specialists →
CM
Carlo Pappone, MD
Specialist
PI on 5 active trials
KM
Koonlawee Nademanee, MD
LOS ANGELES, CA
Specialist
PI on 3 active trials
VP
Virend K. Somers, MD PhD
ROCHESTER, MN
Specialist
PI on 1 active trial
VP
Vincent PROBST, Pr
Specialist
PI on 1 active trial
MM
Maxime CHURET, MD
Specialist
PI on 1 active trial
VM
Vincent Probst, M.D.
Specialist
PI on 1 active trial
AM
Andrew D Krahn, MD
ROXBURY CROSSING, MA
Specialist
PI on 3 active trials1 Brugada syndrome publication
SM
Saverio Iacopino, MD
Specialist
PI on 2 active trials
MP
Maurício I Scanavacca, PhD
Specialist
PI on 1 active trial
OM
Orrin Devinsky, MD
NEW YORK, NY
Specialist
PI on 4 active trials
AA
Angeliki Asimaki
Specialist
PI on 1 active trial2 Brugada syndrome publications
PF
Pier Lambiase, PhD FRCP FHRS
Specialist
PI on 1 active trial
AM
Andreas Metzner, MD
Specialist
PI on 1 active trial1 Brugada syndrome publication
RP
Ricardo S Neves, PhD
Specialist
PI on 1 active trial
SM
Steven Fowler, MD
Specialist
PI on 1 active trial
JM
Janette F Strasburger, MD
MILWAUKEE, WI
Specialist
PI on 1 active trial
AM
Andreas Rillig, MD
Specialist
PI on 1 active trial1 Brugada syndrome publication
PM
Pascal AMEDRO, MD-PhD
WASHINGTON, DC
Specialist
PI on 3 active trials
RN
Ruth Nicholson
Specialist
PI on 1 active trial4 Brugada syndrome publications
CP
Chiara Di Resta, PhD
Specialist
PI on 1 active trial
CP
Cesar J Gruppi, PhD
Specialist
PI on 1 active trial
IP
Itamara LI Neves, PhD
Specialist
PI on 2 active trials
VP
V Probst, Pr
Specialist
PI on 1 active trial

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Financial Resources

1 resources

Betapace

Berlex Laboratories, Inc.

Betapace — Contact Berlex Laboratories, Inc.

Unverified — confirm before calling
Patient Assistance
Manufacturer Program
Accepting applications

Travel Grants

No travel grants are currently matched to Brugada syndrome.

Search all travel grants →NORD Financial Assistance ↗

Community

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Latest news about Brugada syndrome

Disease timeline:

New recruiting trial: GenLab: Unveiling the Genetic Landscape of Brugada Syndrome: Novel Biomarker Discovery for Precise Diagnosis

A new clinical trial is recruiting patients for Brugada syndrome

New recruiting trial: China Inherited Ventricular Arrhythmias Registry

A new clinical trial is recruiting patients for Brugada syndrome

New recruiting trial: Unmasking Concealed Arrhythmia Syndromes

A new clinical trial is recruiting patients for Brugada syndrome

New recruiting trial: Sudden Unexplained Death in Childhood (SUDC) Registry

A new clinical trial is recruiting patients for Brugada syndrome

New recruiting trial: Brugada Syndrome Substrate Characterization and Ablation

A new clinical trial is recruiting patients for Brugada syndrome

New recruiting trial: Clinical Cohort Study - TRUST

A new clinical trial is recruiting patients for Brugada syndrome

New recruiting trial: UZ Brussel HRMC Registry of Brugada Syndrome

A new clinical trial is recruiting patients for Brugada syndrome

Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

Rare disease caregiving can be isolating. Connect with counseling and peer support.

Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.Based on my ECG and test results, what is my personal risk of a dangerous heart rhythm event?,Do I need an ICD, and what are the risks and benefits for someone in my situation?,Which medications — including over-the-counter drugs and supplements — must I avoid?,Should my family members be tested for Brugada syndrome, and how do we arrange that?,Are there any sports or physical activities I should avoid?,What should I do if I develop a fever, and when should I go to the emergency room?,How often do I need follow-up appointments and monitoring?

Common questions about Brugada syndrome

What is Brugada syndrome?

Brugada syndrome is a rare but serious heart condition that affects the electrical system of the heart. It causes an abnormal heart rhythm (arrhythmia) that can lead to sudden cardiac arrest, especially during sleep or rest. The heart itself looks structurally normal — the problem is in how electrical signals travel through it. This is sometimes called a 'channelopathy,' meaning the tiny channels that control electrical flow in heart muscle cells do not work properly. Many people with Brugada syndrome have no symptoms at all and only find out they have it after a routine ECG (electrocardiogra

How is Brugada syndrome inherited?

Brugada syndrome follows a autosomal dominant inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Brugada syndrome typically begin?

Typical onset of Brugada syndrome is adult. Age of onset can vary across affected individuals.

Are there clinical trials for Brugada syndrome?

Yes — 8 recruiting clinical trials are currently listed for Brugada syndrome on UniteRare. See the clinical trials section on this page for phase, sponsor, and site details sourced from ClinicalTrials.gov.

Which specialists treat Brugada syndrome?

25 specialists and care centers treating Brugada syndrome are listed on UniteRare, sourced from ClinicalTrials.gov principal investigators, published research, and the NPPES NPI registry.

What treatment and support options exist for Brugada syndrome?

1 patient support program are currently tracked on UniteRare for Brugada syndrome. See the treatments and support programs sections for copay assistance, eligibility, and contact details.