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J. Cardiovasc. Electrophysiol. · Nov 2004
Case ReportsManifestation of Brugada syndrome after pacemaker implantation in a patient with sick sinus syndrome.
- Yuji Nakazato, Takeshi Suzuki, Masayuki Yasuda, and Hiroyuki Daida.
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan. ynkzt@med.juntendo.ac.jp
- J. Cardiovasc. Electrophysiol. 2004 Nov 1;15(11):1328-30.
AbstractA 49-year-old woman experienced syncope 10 months after DDD pacemaker implantation for sick sinus syndrome. ECG revealed abnormal ST elevation in leads V1 to V3 during a paced rhythm. Multifocal premature ventricular contractions followed by ventricular fibrillation were documented. Saddleback-type ST elevation was confirmed after a mode change to AAI. The diagnosis of Brugada syndrome was made, and the DDD pacemaker was upgraded to an implantable cardioverter defibrillator. Brugada syndrome can be easily overlooked if the classic ECG findings are not initially noted but may be observed even during pacing therapy.
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