Near fatal ventricular fibrillation in Brugada syndrome

Can J Cardiol · Nov 2014

Case Reports

Near fatal ventricular fibrillation in Brugada syndrome despite presence of an implanted implantable cardioverter defibrillator.

A 38-year-old man with Brugada syndrome and aborted cardiac arrest was treated with quinidine only, based on the results of electrophysiologic drug testing. Six months later, after suffering a vaso-vagal syncope, he opted to receive an implantable cardioverter defibrillator and decided to discontinue quinidine against our recommendation. Sixty-seven months later, he had recurrent ventricular fibrillation that was terminated only by the sixth maximal energy shock delivered by the device (which has the capability to deliver a maximum of 8 shocks). This case suggests the possible risk in only relying on an implantable cardioverter defibrillator in the management of cardiac arrest survivors with Brugada syndrome.

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- Bernard Belhassen and Sami Viskin.
- Department of Cardiology, Tel-Aviv Sourasky Medical Center, Tel-Aviv and Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel. Electronic address: bblhass@tasmc.health.gov.il.
- Can J Cardiol. 2014 Nov 1; 30 (11): 1460.e3-5.
AbstractA 38-year-old man with Brugada syndrome and aborted cardiac arrest was treated with quinidine only, based on the results of electrophysiologic drug testing. Six months later, after suffering a vaso-vagal syncope, he opted to receive an implantable cardioverter defibrillator and decided to discontinue quinidine against our recommendation. Sixty-seven months later, he had recurrent ventricular fibrillation that was terminated only by the sixth maximal energy shock delivered by the device (which has the capability to deliver a maximum of 8 shocks). This case suggests the possible risk in only relying on an implantable cardioverter defibrillator in the management of cardiac arrest survivors with Brugada syndrome.Copyright © 2014 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

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Near fatal ventricular fibrillation in Brugada syndrome despite presence of an implanted implantable cardioverter defibrillator.

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