[Brugada syndrome]
S Fischer1, S Reinhold, W Kettner
1Kardiologische Abteilung der Medizinischen Klinik, Städtisches Klinikum Magdeburg, Krankenhaus Altstadt. DrFischerS@web.de
Background:
A high take-off descending ST segment associated with right bundle branch block is the typical ECG criterion of the Brugada-Brugada syndrome. It leads to ventricular fibrillation or syncopes in case of a familiar disposition.
Case Report:
We describe a 56-year-old man in whom oral prajmalium bitartrate therapy previously prescribed for symptomatic ventricular extrasystoles unmasked an electrographic pattern characteristic of a Brugada syndrome. After the ongoing invasive diagnostic a right ventricular dysplasia in the same case is possible. The patient was treated with an ICD pacemaker.
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