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[Disclosure of "Brugada's syndrome" with intravenous propafenone]
Milton E Guevara-Valdivia1, Pedro Iturralde Torres, Alfredo de Micheli
1Departamento de Electrofisiología Cardiaca, Instituto Nacional de Cardiología Ignacio Chávez, INCICH, Juan Badiano No. 1, Col. Secc XVI, 14080 México, D.F.
Abstract:
We present the case of a woman with familial antecedents of a brother who died suddenly at the age of 39 years, and an other with Brugada syndrome. The ECG had not shown the typical pattern of the Brugada syndrome. Based on these antecedents, we decided to perform a pharmacological test with endovenous propafenone, which revealed the electrocardiographic alterations at 10 min after the administration. This is the first case in our knowledge in which endovenous propafenone manifested a concealed Brugada syndrome.