Arrhythmic storm responsive to quinidine in a patient with Brugada syndrome and vasovagal syncope

被引:27
作者
Márquez, MF [1 ]
Rivera, J [1 ]
Hermosillo, AG [1 ]
Iturralde, P [1 ]
Colín, L [1 ]
Moragrega, JL [1 ]
Cárdenas, M [1 ]
机构
[1] Inst Nacl Cardiol Ignacio Chavez, Dept Electrocardiol, Mexico City 14080, DF, Mexico
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2005年 / 28卷 / 08期
关键词
Brugada syndrome; quinidine; sudden cardiac death; ventricular fibrillation; arrhythmic storm;
D O I
10.1111/j.1540-8159.2005.00183.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 37-year-old man with Brugada syndrome (BrS) and arrhythmic storm is described. One month after implantation of a cardioverter-defibrillator he presented with recurrent appropriate shocks for spontaneous ventricular fibrillation (VF). Because of this arrhythmic storm, quinidine therapy was initiated with total suppression of all spontaneous arrhythmias. He had remained free of arrhythmias for 22 months since quinidine initiation. Two episodes of VF occurred after the patient stopped taking the medication. The patient resumed quinidine and has been free of VF for the lost 3 months. This response to quinidine in a patient with symptomatic BrS supports its role in the prophylaxis of arrhythmic events in BrS.
引用
收藏
页码:870 / 873
页数:4
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