Acta cardiologica
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Case Reports
Quinidine for the management of electrical storm in an old patient with Brugada syndrome and syncope.
We report the case of a 63-year-old male with episodes of syncope which led to negative neurologic rule-out. One month later, after another episode of syncope, an emergency room ECG showed ventricular tachycardia treated by DC-shock and, after defibrillation, a typical ECG Brugada pattern. ⋯ Nine-month follow-up was uneventful, without recurrence of ventricular tachycardia at ICD controls. Quinidine may be regarded as an adjunctive therapy for patients at higher risk of ventricular fibrillation and may reduce the number of ICD shocks in patients with multiple recurrences.
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The number of fitness centres has increased in Western countries, some proposing specific training programmes (cardiac patients, weight loss or seniors).There is a real risk of cardiovascular events for individuals without cardiovascular evaluation. Fitness centres could represent a place at particularly high risk for sudden cardiac arrest (SCA). ⋯ The rate of SCA in fitness centres in French-speaking Belgium is comparable to that reported in other countries. AED were available in less than 10% of centres and no CPR trained staff was available in almost one third of the centres.