Monomorphic ventricular tachycardia in 'Brugada syndrome': clinical case and literature review.

Abstract

A 20-year-old white judoka was admitted for severe palpitations during exercise followed by syncope. The electrocardiogram on admission revealed a wide-complex monomorphic tachycardia at a rate of 260 beats/min, with right bundle brunch block morphology and right axis deviation. Following electrical cardioversion, the electrocardiogram showed sinus rhythm with type 1 pattern of Brugada syndrome. We describe in detail the clinical course, the results of electrophysiological study, and therapeutic management. We reviewed literature data concerning a few cases of 'atypical Brugada syndrome' characterized by monomorphic ventricular tachycardia as clinical arrhythmia.

• Authors: Giuseppe Allocca, Alessandro Proclemer, Gaetano Nucifora, Erica Dall'Armellina, Luca Rebellato
• Journal: Journal of cardiovascular medicine (Hagerstown, Md.) (J Cardiovasc Med (Hagerstown)) Vol. 9 Issue 8 Pg. 842-6 (Aug 2008) ISSN: 1558-2027 [Print] United States
• PMID: 18607253 (Publication Type: Case Reports, Journal Article)

Chemical References

• Adrenergic beta-Agonists
• Isoproterenol

Topics

• Adrenergic beta-Agonists (administration & dosage)
• Adult
• Brugada Syndrome (complications, physiopathology)
• Electrocardiography
• Follow-Up Studies
• Heart Rate (physiology)
• Humans
• Infusions, Intravenous
• Isoproterenol (administration & dosage)
• Male
• Tachycardia, Ventricular (drug therapy, etiology, physiopathology)