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Gepubliceerd in: Netherlands Heart Journal 4/2007

01-04-2007 | case report

Electrical storms in Brugada syndrome successfully treated with isoproterenol infusion and quinidine orally

Auteurs: J. K. Jongman, N. Jepkes-Bruin, A. R. Ramdat Misier, W. P. Beukema, P. P. H. M. Delnoy, H. Oude Luttikhuis, J. H. E. Dambrink, J. C. A. Hoorntje, A. Elvan

Gepubliceerd in: Netherlands Heart Journal | Uitgave 4/2007

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Abstract

Brugada syndrome is an inherited cardiac disease and is associated with a peculiar pattern on the electrocardiogram and an increased risk of sudden death. Electrical storm is a malignant but rare phenomenon in symptomatic patients with Brugada syndrome. We describe a patient who presented with repetitive ICD discharges during two episodes of recurrent VF. After the initiation of isoproterenol infusion and oral quinidine, the ventricular tachyarrhythmias were successfully suppressed. (Neth Heart J 2007;15:151-4.)
Literatuur
go back to reference Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome. A multicenter report. J Am Coll Cardiol 1992;20:1391-6. Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome. A multicenter report. J Am Coll Cardiol 1992;20:1391-6.
go back to reference Antzelevitch C. The Brugada syndrome: ionic basis and arrhythmia mechanisms. J Cardiovasc Electrophysiol 2001;12:268-72. Antzelevitch C. The Brugada syndrome: ionic basis and arrhythmia mechanisms. J Cardiovasc Electrophysiol 2001;12:268-72.
go back to reference Meregalli P, Wilde A, Tan H. Pathophysiological mechanisms of Brugada syndrome: Depolarization disorder, repolarization disorder, or more ? Cardiovasc Res 2005;67:367-78. Meregalli P, Wilde A, Tan H. Pathophysiological mechanisms of Brugada syndrome: Depolarization disorder, repolarization disorder, or more ? Cardiovasc Res 2005;67:367-78.
go back to reference Coronel R, Casini S, Koopmann TT, Wilms-Schopman FJG, Verkerk AO, de Groot JR, et al. Right ventricular fibrosis and conduction delay in a patient with clinical signs of Brugada syndrome: a combined electrophysiological, genetic, histopathologic, and computational study. Circulation 2005;112:2769-77. Coronel R, Casini S, Koopmann TT, Wilms-Schopman FJG, Verkerk AO, de Groot JR, et al. Right ventricular fibrosis and conduction delay in a patient with clinical signs of Brugada syndrome: a combined electrophysiological, genetic, histopathologic, and computational study. Circulation 2005;112:2769-77.
go back to reference Brugada J, Brugada R, Antzelevitch C, Towbin J, Nademanee K, Brugada P. Long-term follow-up of individuals with the electrocardiographic pattern of right bundle-branch block and ST-segment elevation in precordial leads V1 to V3. Circulation 2002;105: 173-8. Brugada J, Brugada R, Antzelevitch C, Towbin J, Nademanee K, Brugada P. Long-term follow-up of individuals with the electrocardiographic pattern of right bundle-branch block and ST-segment elevation in precordial leads V1 to V3. Circulation 2002;105: 173-8.
go back to reference Eckardt L, Probst V, Smits JPP, Schulze Bahr E, Wolpert C, Schimpf R, et al. Long-term prognosis of individuals with right precordial ST-segment-elevation Brugada syndrome. Circulation 2005;111:257-63. Eckardt L, Probst V, Smits JPP, Schulze Bahr E, Wolpert C, Schimpf R, et al. Long-term prognosis of individuals with right precordial ST-segment-elevation Brugada syndrome. Circulation 2005;111:257-63.
go back to reference Brugada J, Brugada R, Brugada P. Natural history of Brugada syndrome: the prognostic value of programmed electrical stimulation of the heart. J Cardiovasc Electrophysiol 2003;14:455-7. Brugada J, Brugada R, Brugada P. Natural history of Brugada syndrome: the prognostic value of programmed electrical stimulation of the heart. J Cardiovasc Electrophysiol 2003;14:455-7.
go back to reference Belhassen B, Glick A, Viskin S. Efficacy of quinidine in high-risk patients with Brugada syndrome. Circulation 2004;110:1731-7. Belhassen B, Glick A, Viskin S. Efficacy of quinidine in high-risk patients with Brugada syndrome. Circulation 2004;110:1731-7.
go back to reference Maury P, Couderc P, Delay M, Boveda S, Brugada J. Electrical storm in Brugada syndrome successfully treated using isoprenaline. Europace 2004;6:130-3. Maury P, Couderc P, Delay M, Boveda S, Brugada J. Electrical storm in Brugada syndrome successfully treated using isoprenaline. Europace 2004;6:130-3.
go back to reference Mok NS, Chan NY, Chiu AC. Successful use of quinidine in treatment of electrical storm in Brugada syndrome. Pacing Clin Electrophysiol 2004;27:821-3. Mok NS, Chan NY, Chiu AC. Successful use of quinidine in treatment of electrical storm in Brugada syndrome. Pacing Clin Electrophysiol 2004;27:821-3.
go back to reference Bettiol K, Gianfranchi L, Scarfo S, Pacchioni F, Pedaci M, Alboni P. Successful treatment of electrical storm with oral quinidine in Brugada syndrome. Ital Heart J 2005;6:601-2. Bettiol K, Gianfranchi L, Scarfo S, Pacchioni F, Pedaci M, Alboni P. Successful treatment of electrical storm with oral quinidine in Brugada syndrome. Ital Heart J 2005;6:601-2.
go back to reference Yan GC, Antzelevitch C. Cellular basis for the Brugada syndrome and other mechanisms of arrhythmogenesis associated with STsegment elevation. Circulation 1999;100:1660-6. Yan GC, Antzelevitch C. Cellular basis for the Brugada syndrome and other mechanisms of arrhythmogenesis associated with STsegment elevation. Circulation 1999;100:1660-6.
go back to reference Lukas A, Antzelevitch C. Phase 2 reentry as a mechanism of initiation of circus movement reentry in canine epicardium exposed to simulated ischemia. Cardiovasc Res 1996;32:593-603. Lukas A, Antzelevitch C. Phase 2 reentry as a mechanism of initiation of circus movement reentry in canine epicardium exposed to simulated ischemia. Cardiovasc Res 1996;32:593-603.
go back to reference Kasanuki H, Ohnishi S, Ohtura M, Matsuda N, Nirei T, Isogai R, et al. Idiopathic ventricular fibrillation induced with vagal activity in patients without obvious heart disease. Circulation 1997;95: 2277-85. Kasanuki H, Ohnishi S, Ohtura M, Matsuda N, Nirei T, Isogai R, et al. Idiopathic ventricular fibrillation induced with vagal activity in patients without obvious heart disease. Circulation 1997;95: 2277-85.
go back to reference Watanabe A, Fukushima Kusano F, Morita H, Miura D, Sumida W, Hiramatsu S, et al. Low-dose isoproterenol for repetitive ventricular arrhythmia in patients with Brugada syndrome. Eur Heart J 2006;27:1579-83. Watanabe A, Fukushima Kusano F, Morita H, Miura D, Sumida W, Hiramatsu S, et al. Low-dose isoproterenol for repetitive ventricular arrhythmia in patients with Brugada syndrome. Eur Heart J 2006;27:1579-83.
go back to reference Brugada P, Brugada R, Antzelevitch C, Brugada J. The Brugada Syndrome. Mal Coeur Vaiss 2005;98:115-22. Brugada P, Brugada R, Antzelevitch C, Brugada J. The Brugada Syndrome. Mal Coeur Vaiss 2005;98:115-22.
go back to reference Alings M, Dekker L, Sadee A, Wilde A. Quinidine induced electrocardiographic normalization in two patients with Brugada syndrome. Pacing Clin Electrophysiol 2001;24:1420-2. Alings M, Dekker L, Sadee A, Wilde A. Quinidine induced electrocardiographic normalization in two patients with Brugada syndrome. Pacing Clin Electrophysiol 2001;24:1420-2.
Metagegevens
Titel
Electrical storms in Brugada syndrome successfully treated with isoproterenol infusion and quinidine orally
Auteurs
J. K. Jongman
N. Jepkes-Bruin
A. R. Ramdat Misier
W. P. Beukema
P. P. H. M. Delnoy
H. Oude Luttikhuis
J. H. E. Dambrink
J. C. A. Hoorntje
A. Elvan
Publicatiedatum
01-04-2007
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 4/2007
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/BF03085972

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