Open AccessDevelopment of monomorphic ventricular tachycardia in a patient with fever‐induced Brugada syndrome
Author(s) -
Sato Yuriko,
Aizawa Yoshiyasu,
Fujisawa Taishi,
Ito Shogo,
Katano Kousuke,
Fuse Nozomi,
Miyabe Akira,
Osada Kimihiro,
Ishihara Ryuuma,
Tosaka Atushi,
Tamamura Toshitake,
Mizumura Taisuke,
Sugimura Youichi,
Nakajima Kazuaki,
Katsumata Yoshinori,
Nishiyama Takahiko,
Kimura Takehiro,
Furukawa Yoshiko,
Takatsuki Seiji,
Kosaki Kenjiro,
Fukuda Keiichi
Publication year - 2018
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1002/joa3.12068
Subject(s) - medicine , brugada syndrome , ventricular tachycardia , cardiology , lidocaine , st segment , sinus rhythm , st elevation , sinus tachycardia , emergency department , anesthesia , electrocardiography , myocardial infarction , atrial fibrillation , psychiatry
A 50‐year‐old woman visited the emergency department with a high fever due to pneumonia. Incessant monomorphic ventricular tachycardia occurred and was terminated by intravenous lidocaine. Her ECG during sinus rhythm demonstrated ST segment elevation suggestive of Brugada syndrome ( BS ). An intensive examination could not detect any structural disease, and typical coved‐type ST elevation was unmasked by a pilsicainide injection leading to a diagnosis of BS . An ICD was implanted for secondary prevention of ventricular arrhythmia. The patient has been free from any recurrences of arrhythmia for 3 years.