Premium
Successful Use of Quinidine in Treatment of Electrical Storm in Brugada Syndrome
Author(s) -
MOK NGAISHING,
CHAN NGAIYIN,
CHISUEN CHIU ALEX
Publication year - 2004
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2004.00537.x
Subject(s) - brugada syndrome , medicine , quinidine , ventricular fibrillation , cardiology , implantable cardioverter defibrillator , anesthesia
We report an adolescent with a malignant form of Brugada syndrome who presented with 15 episodes of ventricular fibrillation (VF) over 10 days, shortly after implantation of an implantable cardioverter defibrillator. Oral quinidine bisulphate at a dose of 1000mg/day successfully suppressed the electrical storm and recurrence of VF over 18‐month follow‐up. It also normalized the ST‐segment elevation in his right precordial leads, suppressed all ambient unifocal ventricular extrasystoles and induction of VF on programmed electrical stimulation. This case suggests that quinidine, by virtue of its blocking action on Ito, may be useful as adjunctive therapy in Brugada syndrome. (PACE 2004; 27[Pt. I]:821–823)