Brugada Syndrome and Idiopathic Left Ventricular Tachycardia Unmasked by Exercise and a Class Ic Drug

被引:3
作者
Yuasa, Sho [1 ]
Sato, Masahito [1 ]
Kitazawa, Hitoshi [1 ]
Okabe, Masaaki [1 ]
Komatsu, Yasushi [1 ]
Koshikawa, Tomoyasu [1 ]
Miyajima, Seiichi [2 ]
Aizawa, Yoshifusa [3 ]
机构
[1] Tachikawa Gen Hosp, Nagaoka, Niigata, Japan
[2] Miyajima Clin, Tsubame, Japan
[3] Tachikawa Med Ctr, Nagaoka, Niigata, Japan
关键词
Brugada syndrome; Ventricular tachycardia; Exercise; Pilsicainide; ABLATION;
D O I
10.1016/j.jelectrocard.2014.04.022
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The patient was a 33-year-old male. Twenty years ago, he underwent radiofrequency catheter ablation for idiopathic sustained monomorphic ventricular tachycardia (VT) with an RBBB and superior axis pattern. The VT was inducible by programmed stimulation and entrained by rapid pacing. At this presentation, he developed palpitation and VT with the same morphology at the peak exercise on a treadmill with appearance of typical ECG pattern for Brugada syndrome (BrS). Pilsicainide. induced the typical ECG pattern and premature ventricular beats (PVBs) of the same morphology as VT. The relationship between BrS and VT of left ventricular origin was discussed. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:721 / 724
页数:4
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