Monomorphic ventricular tachycardia in 'Brugada syndrome': clinical case and literature review.
A 20-year-old white judoka was admitted for severe palpitations during exercise followed by syncope. The electrocardiogram on admission revealed a wide-complex monomorphic tachycardia at a rate of 260 beats/min, with right bundle brunch block morphology and right axis deviation. Following electrical cardioversion, the electrocardiogram showed sinus rhythm with type 1 pattern of Brugada syndrome. We describe in detail the clinical course, the results of electrophysiological study, and therapeutic management. We reviewed literature data concerning a few cases of 'atypical Brugada syndrome' characterized by monomorphic ventricular tachycardia as clinical arrhythmia.
Allocca
Giuseppe
G
Cardiopulmonary Science Department, S. Maria della Misericordia Hospital and IRCAB Foundations Udine, Italy.
Proclemer
Alessandro
A
Nucifora
Gaetano
G
Dall'Armellina
Erica
E
Rebellato
Luca
L
D000318:Adrenergic beta-Agonists / Q000008:administration & dosage*; D000328:Adult; D053840:Brugada Syndrome / Q000150:complications* / Q000503:physiopathology; D004562:Electrocardiography; D005500:Follow-Up Studies; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D007262:Infusions, Intravenous; D007545:Isoproterenol / Q000008:administration & dosage; D008297:Male; D017180:Tachycardia, Ventricular / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology
D000318:Adrenergic beta-Agonists; D007545:Isoproterenol