title: A case of brugada syndrome presenting with ventricular fibrillation storm and prominent early repolarization.
abstract: A 21-year-old man developed ventricular fibrillation (VF) while drinking alcohol and was admitted to our hospital. An electrocardiogram (ECG) on admission revealed remarkably prominent slurs on the terminal part of QRS complexes in the left precordial leads and a coved type ST elevation at higher intercostal spaces. After hypothermia therapy, he underwent implantation of an implantable cardioverter-defibrillator (ICD). Standard twelve-lead follow-up ECGs revealed early repolarization pattern and an intermittent coved type ST elevation. When the coved type ST elevation appeared, the early repolarization pattern in the inferior and left precordial leads was attenuated. Prominent early repolarization pattern was the most likely trigger of the VF storm in this Brugada patient.
authors.affiliation: Cardiology, Tachikawa General Hospital, Nagaoka, Japan; Department of Internal Medicine II, University of Yamanashi, Faculty of Medicine, Yamanashi, Japan.
authors.forename: Chifumi
authors.initials: C
authors.lastname: Iizuka
authors.affiliation: Cardiology, Tachikawa General Hospital, Nagaoka, Japan.
authors.forename: Masahito
authors.initials: M
authors.lastname: Sato
authors.affiliation: Cardiology, Tachikawa General Hospital, Nagaoka, Japan.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kitazawa
authors.affiliation: Cardiology, Tachikawa General Hospital, Nagaoka, Japan.
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Ikeda
authors.affiliation: Cardiology, Tachikawa General Hospital, Nagaoka, Japan.
authors.forename: Masaaki
authors.initials: M
authors.lastname: Okabe
authors.affiliation: Department of Internal Medicine II, University of Yamanashi, Faculty of Medicine, Yamanashi, Japan.
authors.forename: Kiyotaka
authors.initials: K
authors.lastname: Kugiyama
authors.affiliation: Department of Research and Development, Tachikawa Medical Center, Nagaoka, Japan. Electronic address: yo-aizawa212@tatikawa.or.jp.
authors.forename: Yoshifusa
authors.initials: Y
authors.lastname: Aizawa
mesh_terms: D053840:Brugada Syndrome / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods*; D006801:Humans; D008297:Male; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014693:Ventricular Fibrillation / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D055815:Young Adult
keywords: Brugada syndrome; Early repolarization syndrome; Idiopathic ventricular fibrillation; VF storm