title: Coexistence of Wolff-Parkinson-white and Brugada syndrome: mere curiosity?
abstract: The association between Brugada syndrome (BS) and ventricular preexcitation is a rare condition, with sporadic cases already reported. We report the case of a 29-year-old man, with palpitation unrelated to physical or emotional stress. The electrocardiogram of the first visit revealed a ventricular preexcitation pattern and an end-conduction delay, with negative T wave in V1 and intraventricular conduction disturbance in V2 (atypical for BS). The typical aspect of BS occurred after introduction of propafenone for the prevention of atrioventricular tachycardia. We discuss the recognition of this rare association, the proarrhythmic effects of some drugs, treatment options, and prognosis.
authors: Heart Institute (Incor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil.
authors: Elisabeth
authors: E
authors: Kaiser
authors: Luciana
authors: L
authors: Sacilotto
authors: Francisco
authors: F
authors: Darrieux
authors: Eduardo
authors: E
authors: Sosa
mesh_terms: D000328:Adult; D053840:Brugada Syndrome / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D017115:Catheter Ablation; D004562:Electrocardiography; D006801:Humans; D008297:Male; D011379:Prognosis; D014927:Wolff-Parkinson-White Syndrome / Q000150:complications* / Q000503:physiopathology / Q000601:surgery
keywords: Brugada syndrome; Wolff-Parkinson-White syndrome; arrhythmias