[Brugada syndrome]
S Fischer1, S Reinhold, W Kettner
1Kardiologische Abteilung der Medizinischen Klinik, Städtisches Klinikum Magdeburg, Krankenhaus Altstadt. DrFischerS@web.de
Medizinische Klinik (Munich, Germany : 1983)
|September 19, 2001
Summary
Brugada syndrome, a heart condition, was unmasked in a patient by prajmalium bitartrate medication. This case highlights the importance of drug-induced Brugada syndrome diagnosis and management with an ICD pacemaker.
Area of Science:
- Cardiology
- Electrophysiology
- Pharmacology
Background:
- Brugada syndrome is characterized by a specific ECG pattern, including a high take-off descending ST segment with right bundle branch block.
- This condition predisposes individuals to life-threatening ventricular arrhythmias and syncope, particularly with a family history.
Observation:
- A 56-year-old male patient presented with symptomatic ventricular extrasystoles.
- Treatment with oral prajmalium bitartrate unmasked an electrocardiographic pattern consistent with Brugada syndrome.
Findings:
- The patient's medication revealed a characteristic Brugada syndrome pattern on ECG.
- Right ventricular dysplasia was considered as a possible co-existing condition following invasive diagnostics.
Implications:
- This case underscores the potential for drug-induced Brugada syndrome, emphasizing careful medication review in affected patients.
- Implantation of an implantable cardioverter-defibrillator (ICD) pacemaker was necessary for managing the patient's cardiac condition.
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