[Brugada syndrome].
BACKGROUND
A high take-off descending ST segment associated with right bundle branch block is the typical ECG criterion of the Brugada-Brugada syndrome. It leads to ventricular fibrillation or syncopes in case of a familiar disposition.


METHODS
We describe a 56-year-old man in whom oral prajmalium bitartrate therapy previously prescribed for symptomatic ventricular extrasystoles unmasked an electrographic pattern characteristic of a Brugada syndrome. After the ongoing invasive diagnostic a right ventricular dysplasia in the same case is possible. The patient was treated with an ICD pacemaker.
Fischer
S
S
Kardiologische Abteilung der Medizinischen Klinik, Städtisches Klinikum Magdeburg, Krankenhaus Altstadt. DrFischerS@web.de
Reinhold
S
S
Kettner
W
W
D000889:Anti-Arrhythmia Agents / Q000009:adverse effects*; D019571:Arrhythmogenic Right Ventricular Dysplasia / Q000150:complications / Q000175:diagnosis*; D002037:Bundle-Branch Block / Q000150:complications* / Q000503:physiopathology; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000187:drug effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D011219:Prajmaline / Q000009:adverse effects*; D013577:Syndrome; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000209:etiology
D000889:Anti-Arrhythmia Agents; D011219:Prajmaline