Syncopal monomorphic ventricular tachycardia with pleomorphism, sensitive to antitachycardia pacing in a patient with Brugada syndrome.
Polymorphic ventricular tachycardia and ventricular fibrillation are the most common arrhythmias in Brugada syndrome, causing syncope or sudden death. Sustained monomorphic ventricular tachycardias are rare in this context. We report the case of a 41-year-old man with repetitive syncopal episodes and an ajmaline-induced characteristic Brugada ECG pattern, in whom episodes of monomorphic ventricular tachycardia with pleomorphism and response to ventricular pacing were documented.
Bertomeu-Gonzalez
Vicente
V
Department of Cardiology, Hospital Clinico Universitario de Valencia, Blasco Ibañez 17, 46010 Valencia, Spain. vbertog@secardiologia.es
Ruiz-Granell
Ricardo
R
García-Civera
Roberto
R
Morell-Cabedo
Salvador
S
Ferrero
Angel
A
D000328:Adult; D053840:Brugada Syndrome / Q000150:complications / Q000503:physiopathology* / Q000628:therapy; D004562:Electrocardiography; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D013575:Syncope / Q000150:complications / Q000503:physiopathology* / Q000628:therapy; D017180:Tachycardia, Ventricular / Q000150:complications / Q000503:physiopathology* / Q000628:therapy