title: Very prolonged episode of self-terminating ventricular fibrillation in a patient with Brugada syndrome.
abstract: We report the case of a very prolonged spontaneous episode of self-terminating ventricular fibrillation in a patient with Brugada syndrome (BrS). The patient first underwent implantation of an internal loop recorder after an episode of prolonged loss of consciousness (several minutes) that was suggestive of a nonarrhythmic cause. After a second episode of prolonged syncope, subsequent interrogation of the loop recorder revealed a very prolonged episode of self-terminating ventricular arrhythmia, lasting 2 minutes and 41 seconds. This short report emphasizes the fact that an arrhythmic cause of syncope should not be ruled out in patients with BrS presenting with very prolonged loss of consciousness.
authors.affiliation: Lille University Hospital, Department of Cardiovascular Medicine, Lille, France. Electronic address: stephane.boule@chru-lille.fr.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Boulé
authors.forename: Claude
authors.initials: C
authors.lastname: Kouakam
authors.forename: François
authors.initials: F
authors.lastname: Brigadeau
mesh_terms: D000284:Administration, Oral; D000328:Adult; D000404:Ajmaline; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage; D053840:Brugada Syndrome / Q000175:diagnosis* / Q000628:therapy; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011802:Quinidine / Q000008:administration & dosage; D012815:Signal Processing, Computer-Assisted; D017180:Tachycardia, Ventricular / Q000175:diagnosis / Q000628:therapy; D014474:Unconsciousness / Q000209:etiology* / Q000517:prevention & control; D014693:Ventricular Fibrillation / Q000175:diagnosis* / Q000628:therapy
chemical_list: D000889:Anti-Arrhythmia Agents; D000404:Ajmaline; D011802:Quinidine