Multiple premature beats triggered ventricular arrhythmias during pilsicainide infusion in a patient with inferior ST-segment elevation

被引：7
作者：
Chinushi, Masaomi
Izumi, Daisuke
Furushima, Hiroshi
Watanabe, Hiroshi
Aizawa, Yoshifusa
机构：
[1] Niigata Univ, Sch Med, Sch Hlth Sci, Niigata 9518518, Japan
[2] Niigata Univ, Sch Med, Dept Internal Med 1, Niigata 9518518, Japan
来源：
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2006年 / 29卷 / 12期
关键词：
atypical Brugada syndrome; polymorphic ventricular tachycardia; pilsicainide;
D O I：
10.1111/j.1540-8159.2006.00562.x
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 17-year-old man was referred to our hospital for treatment of common paroxysmal atrial flutter. His electrocardiogram at rest showed subtle ST-segment elevation in leads II, III, and aV(F). Intravenous pilsicainide caused further ST-segment elevation in the inferior leads, new ST-segment depression in leads V2-V6, two distinct forms of premature ventricular complexes (PVCs) triggering short runs of polymorphic ventricular tachycardia (VT). An infusion of isoproterenol suppressed these arrhythmias and normalized the ST-segment. Pilsicainide may induce PVCs and polymorphic VT in atypical Brugada syndrome.
引用
收藏
页码：1445 / 1448
页数：4
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