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Recurrent ventricular fibrillation in a patient with Brugada syndrome successfully treated with procainamide
Ist Teil von
Revista española de cardiologia, 2003-11, Vol.56 (11), p.1134-1136
Ort / Verlag
Spain
Erscheinungsjahr
2003
Quelle
ScienceDirect
Beschreibungen/Notizen
Brugada syndrome is a clinical and electrocardiographic entity characterized by ST segment elevation in the right precordial ECG leads and sudden death or syncope secondary to malignant ventricular arrhythmia, and has a high recurrence rate. We report a patient with this syndrome who had received an automatic implantable defibrillator, who presented with multiple appropriate discharges because of recurrent episodes of ventricular fibrillation. All episodes were started by a premature ventricular beat of the same morphology and coupling interval. Endovenous procainamide administration, paradoxically, was effective in preventing new episodes. The beneficial antiarrhythmic effect of procainamide in this patient is discussed.