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Antiarrhythmic Induced Electrical Storm in Brugada Syndrome: A Case Report

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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.

A.N.E. 2007;12(3):274–278
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Keywords: Brugada syndrome; antiarrhythmic agents; electrical storm; ventricular fibrillation; ventricular tachycardia

Document Type: Case Report

Affiliations: Division of Cardiology, St. Luke's-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, NY

Publication date: July 1, 2007

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