Antiarrhythmic induced electrical storm in Brugada syndrome: A case report

Sandeep Joshi, Farbod Raiszadeh, Walter Pierce, Jonathan S. Steinberg

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Brugada syndrome (BS) may be "unmasked" by several pharmacological and/or physiological agents in an otherwise normal electrocardiogram. Once diagnosed the possibility of persistent ventricular tachycardia/fibrillation exists. Although this is treated with various antiarrhythmic agents, there remains a cohort of patients who fail to respond to conventional antiarrhythmic therapy therefore, amplifying the electrical storm. We report a case of a BS diagnosed via procainamide challenge, the resultant near fatal electrical storm aggravated by amiodarone and the eventual resolution with isoproterenol.

Original languageEnglish
Pages (from-to)274-278
Number of pages5
JournalAnnals of Noninvasive Electrocardiology
Volume12
Issue number3
DOIs
StatePublished - Jul 2007
Externally publishedYes

Keywords

  • Antiarrhythmic agents
  • Brugada syndrome
  • Electrical storm
  • Ventricular fibrillation
  • Ventricular tachycardia

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