
Antiarrhythmic Induced Electrical Storm in Brugada Syndrome: A Case Report
Author(s) -
Joshi Sandeep,
Raiszadeh Farbod,
Pierce Walter,
Steinberg Jonathan S.
Publication year - 2007
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/j.1542-474x.2007.00171.x
Subject(s) - brugada syndrome , medicine , procainamide , amiodarone , ventricular fibrillation , ventricular tachycardia , cardiology , flecainide , electrocardiography , tachycardia , atrial fibrillation
Brugada syndrome (BS) may be “unmasked” by several pharmacological and/or physiological agents in an otherwise normal electrocardiogram. Once diagnosed the possibility of persistent ventricular tachycardia/fibrillation exists. Although this is treated with various antiarrhythmic agents, there remains a cohort of patients who fail to respond to conventional antiarrhythmic therapy therefore, amplifying the electrical storm. We report a case of a BS diagnosed via procainamide challenge, the resultant near fatal electrical storm aggravated by amiodarone and the eventual resolution with isoproterenol.