Incessant monomorphic ventricular tachycardia during febrile illness in a patient with Brugada syndrome: fatal electrical storm

被引：36
作者：
Dinckal, MH
Davutoglu, V
Akdemir, I
Soydinc, S
Kirilmaz, A
Aksoy, M
机构：
[1] Gaziantep Univ, Fac Med, Dept Cardiol, Gaziantep, Turkey
[2] Gulhane Mil Med Acad, Dept Cardiol, Ankara, Turkey
来源：
EUROPACE | 2003年 / 5卷 / 03期
关键词：
Brugada syndrome; fever; monomorphic VT; fatal electrical storm;
D O I：
10.1016/S1099-5129(03)00034-5
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 55-year-old male with structurally normal heart presented with sustained monomorphic ventricular tachycardia (VT) and was cardioverted into sinus rhythm revealing a right bundle branch block pattern at baseline electrocardiography. Sustained monomorphic and nonsustained polymorphic VT were reproducibly inducible during electrophysiological study. During the diagnostic workup, the patient experienced fever due to hospital based pneumonia, which unmasked typical ST segment changes of Brugada syndrome. In the intensive care unit, fever became intractable leading to incessant monomorphic VT, which was resistant to all medical manoeuvers resulting in the patient's death. (C) 2003 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.
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收藏
页码：257 / 261
页数：5
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