Massive Electrical Storm at Disease Onset in a Patient with Brugada Syndrome
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Massive Electrical Storm at Disease Onset in a Patient with Brugada Syndrome. / Pallisgaard, Jannik L; Gang, Uffe; Kanters, Jørgen K.; Hansen, Peter R.
In: Journal of Electrocardiology, Vol. 15, 2014, p. 559-561.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Massive Electrical Storm at Disease Onset in a Patient with Brugada Syndrome
AU - Pallisgaard, Jannik L
AU - Gang, Uffe
AU - Kanters, Jørgen K.
AU - Hansen, Peter R
PY - 2014
Y1 - 2014
N2 - Background Brugada syndrome (BrS) is a genetic arrhythmogenic disease characterized by ST-segment elevations in the right precordial leads of the electrocardiogram (ECG). These ECG changes may be concealed and BrS may present with electrical storm characterized by recurrent ventricular tachycardia and fibrillation. Case Report A 49-year-old previously healthy man was admitted with electrical storm. The patient received direct current (DC) cardioversion shocks and only after intravenous lidocaine did the electrical storm slowly subside with a total of 255 DC shocks administered during the first 24 h after admission. He fully recovered and received an implantable cardioverter-defibrillator. Subsequent drug challenge with flecainide revealed type 1 BrS. Conclusions Massive electrical storm can be the first symptom of BrS and the diagnostic ECG changes may be concealed at presentation. Although hundreds of DC shocks may be required during initial treatment, full recovery can be achieved.
AB - Background Brugada syndrome (BrS) is a genetic arrhythmogenic disease characterized by ST-segment elevations in the right precordial leads of the electrocardiogram (ECG). These ECG changes may be concealed and BrS may present with electrical storm characterized by recurrent ventricular tachycardia and fibrillation. Case Report A 49-year-old previously healthy man was admitted with electrical storm. The patient received direct current (DC) cardioversion shocks and only after intravenous lidocaine did the electrical storm slowly subside with a total of 255 DC shocks administered during the first 24 h after admission. He fully recovered and received an implantable cardioverter-defibrillator. Subsequent drug challenge with flecainide revealed type 1 BrS. Conclusions Massive electrical storm can be the first symptom of BrS and the diagnostic ECG changes may be concealed at presentation. Although hundreds of DC shocks may be required during initial treatment, full recovery can be achieved.
U2 - 10.12659/AJCR.892314
DO - 10.12659/AJCR.892314
M3 - Journal article
C2 - 25528772
VL - 15
SP - 559
EP - 561
JO - Journal of Electrocardiology
JF - Journal of Electrocardiology
SN - 0022-0736
ER -
ID: 130557038