Electrical storm in Brugada syndrome successfully treated with orciprenaline; effect of low-dose quinidine on the electrocardiogram

被引：27
|
作者：
Kyriazis, Konstantinos [1 ]
Bahlmann, Edda [1 ]
van der Schalk, Hendrik [1 ]
Kuck, Karl-Heinz [1 ]
机构：
[1] Asklepios Hosp St Georg, Dept Cardiol, D-20099 Hamburg, Germany
来源：
EUROPACE | 2009年 / 11卷 / 05期
关键词：
D O I：
10.1093/europace/eup070
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report a case of an electrical storm occurring in a patient implanted with a cardioverter defibrillator for symptomatic Brugada syndrome. Recurrent ventricular fibrillation was initiated by short-coupled premature ventricular beats of right ventricular origin, associated with a fixed Brugada type 2 electrocardiographic pattern. Low-dose orciprenaline application as an intravenous bolus followed by an infusion inhibited the recurrence of ventricular fibrillation and normalized the electrocardiographic pattern. Low-dose oral quinidine had only a moderate effect on the ST-elevation.
引用
收藏
页码：665 / 666
页数：2
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