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Brugada syndrome
Caused by mutations to SCN5A gene
encodes for sodium channel unit
autosomal dominant
sudden unexplained nocturnal death syndrome
Shark fin ECG finding indicates
Brugada syndrome
Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) is caused by
mutation of RyR2 gene
codes for protein called ryanodine receptor 2
makes calcium transporting channels in SR
cause contraction
CPVT causes
very fast ventricular rhythm (caused by leaky calcium channels in muscles cells
Glycosides (digitoxin)
Inhibit sodium-potassium pump in cardiac cells
less Na gradient to do work, more calcium inside cell
Excess calcium is stored in ER for contraction (increases force of contraction)
positive ionotropic effect → stronger muscle contraction