Latent Brugada syndrome leading to sudden cardiac arrest revealed by exercise electrocardiography: a case report

被引：0

作者：

Uziebto-Zyczkowska, Beata ^{[1
]}

Michalkiewicz, Dariusz ^{[1
]}

Wierzbowski, Robert ^{[1
]}

Kubik, Leszek ^{[1
]}

Makowski, Karol ^{[1
]}

Sidlo, Ewa ^{[1
]}

Cholewa, Marian ^{[1
]}

机构：

[1] WIM CSK MON, Dept Cardiol, Warsaw, Poland

来源：

ARCHIVES OF MEDICAL SCIENCE | 2008年 / 4卷 / 04期

关键词：

Brugada syndrome; sudden cardiac arrest; cardioverter-defibrillator implantation;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We present the case of a 45-year-old patient who was hospitalized after he had suffered from a sudden cardiac arrest (SCA) episode during ventricular fibrillation. This sudden cardiac arrest episode occurred in an otherwise healthy subject who previously had been under treatment only for arterial hypertension. In the course of the exercise test the patient was shown to have an ST-segment elevation in leads V-1-V-3, with a subsequent negative T-wave. A drug challenge was used, on the basis of which Brugada syndrome was identified as being the cause of the sudden cardiac arrest in this patient.

引用

收藏

页码：455 / 459

页数：5

相关论文

共 10 条

[1] Brugada syndrome - Report of the second consensus conference - Endorsed by the Heart Rhythm Society and the European Heart Rhythm Association [J].

Antzelevitch, C ;

Brugada, P ;

Borggrefe, M ;

Brugada, J ;

Brugada, R ;

Corrado, D ;

Gussak, I ;

LeMarec, H ;

Nademanee, K ;

Riera, ARP ;

Shimizu, W ;

Schulze-Bahr, E ;

Tan, H ;

Wilde, A .

CIRCULATION, 2005, 111 (05) :659-670

[2] RIGHT BUNDLE-BRANCH BLOCK, PERSISTENT ST SEGMENT ELEVATION AND SUDDEN CARDIAC DEATH - A DISTINCT CLINICAL AND ELECTROCARDIOGRAPHIC SYNDROME - A MULTICENTER REPORT [J].

BRUGADA, P ;

BRUGADA, J .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1992, 20 (06) :1391-1396

[3] Ionic mechanisms responsible for the electrocardiographic phenotype of the Brugada syndrome are temperature dependent [J].

Dumaine, R ;

Towbin, JA ;

Brugada, P ;

Vatta, M ;

Nesterenko, DV ;

Nesterenko, VV ;

Brugada, J ;

Brugada, R ;

Antzelevitch, C .

CIRCULATION RESEARCH, 1999, 85 (09) :803-809

[4] Autonomic and antiarrhythmic drug modulation of ST segment elevation in patients with Brugada syndrome [J].

Miyazaki, T ;

Mitamura, H ;

Miyoshi, S ;

Soejima, K ;

Aizawa, Y ;

Ogawa, S .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1996, 27 (05) :1061-1070

[5] The Brugada syndrome: Clinical, genetic, cellular, and molecular abnormalities [J].

Naccarelli, GV ;

Antzelevitch, C .

AMERICAN JOURNAL OF MEDICINE, 2001, 110 (07) :573-581

[6] Defibrillator versus β-blockers for unexplained death in Thailand (DEBUT) -: A randomized clinical trial [J].

Nademanee, K ;

Veerakul, G ;

Mower, M ;

Likittanasombat, K ;

Krittayapong, R ;

Bhuripanyo, K ;

Sitthisook, S ;

Chaothawee, L ;

Lai, MY ;

Azen, SP .

CIRCULATION, 2003, 107 (17) :2221-2226

[7] Fever unmasking the Brugada syndrome [J].

Porres, JM ;

Brugada, J ;

Urbistondo, V ;

García, F ;

Reviejo, K ;

Marco, P .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2002, 25 (11) :1646-1648

[8] The ajmaline challenge in Brugada syndrome: Diagnostic impact, safety, and recommended protocol [J].

Rolf, S ;

Bruns, HJ ;

Wichter, T ;

Kirchhof, P ;

Ribbing, M ;

Wasmer, K ;

Paul, M ;

Breithardt, G ;

Haverkamp, W ;

Eckardt, L .

EUROPEAN HEART JOURNAL, 2003, 24 (12) :1104-1112

[9] Cardiac autonomic dysfunction in Brugada syndrome [J].

Wichter, T ;

Matheja, P ;

Eckardt, L ;

Kies, P ;

Schäfers, K ;

Schulze-Bahr, E ;

Haverkamp, W ;

Borggrefe, M ;

Schober, O ;

Breithardt, G ;

Schäfers, M .

CIRCULATION, 2002, 105 (06) :702-706

[10] ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death [J].

Zipes, Douglas P. ;

Camm, A. John ;

Borggrefe, Martin ;

Buxton, Alfred E. ;

Chaitman, Bernard ;

Fromer, Martin ;

Gregoratos, Gabriel ;

Klein, George ;

Moss, Arthur J. ;

Myerburg, Robert J. ;

Priori, Silvia G. ;

Quinones, Miguel A. ;

Roden, Dan M. ;

Silka, Michael J. ;

Tracy, Cynthia .

EUROPACE, 2006, 8 (09) :746-837