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Manifestation of Brugada Syndrome After Pacemaker Implantation in a Patient with Sick Sinus Syndrome
Author(s) -
NAKAZATO YUJI,
SUZUKI TAKESHI,
YASUDA MASAYUKI,
DAIDA HIROYUKI
Publication year - 2004
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1046/j.1540-8167.2004.04092.x
Subject(s) - medicine , brugada syndrome , sick sinus syndrome , cardiology , ventricular fibrillation , implantable cardioverter defibrillator , sinus rhythm , normal sinus rhythm , atrial fibrillation , st elevation , electrocardiography
A 49‐year‐old woman experienced syncope 10 months after DDD pacemaker implantation for sick sinus syndrome. ECG revealed abnormal ST elevation in leads V 1 to V 3 during a paced rhythm. Multifocal premature ventricular contractions followed by ventricular fibrillation were documented. Saddleback‐type ST elevation was confirmed after a mode change to AAI. The diagnosis of Brugada syndrome was made, and the DDD pacemaker was upgraded to an implantable cardioverter defibrillator. Brugada syndrome can be easily overlooked if the classic ECG findings are not initially noted but may be observed even during pacing therapy.