Spontaneous sustained monomorphic ventricular tachycardia after administration of ajmaline in a patient with Brugada syndrome

被引:27
作者
Bermúdez, EP [1 ]
García-Alberola, A [1 ]
Sánchez, JM [1 ]
Muñoz, JJS [1 ]
Chávarri, MV [1 ]
机构
[1] Univ Hosp Virgen Arrixaca, Dept Cardiol, Murcia, Spain
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2000年 / 23卷 / 03期
关键词
Brugada syndrome; ajmaline; monomorphic ventricular tachycardia;
D O I
10.1111/j.1540-8159.2000.tb06771.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present the case of a 13-year-old boy with an episode of aborted sudden death, absence of structural heart disease, and a characteristic ECG pattern of right bundle branch block with persistent ST-segment elevation in the right precordial leads, in whom a monomorphic sustained ventricular tachycardia developed spontaneously after the administration of ajmaline. This effect may be related to an increased inhomogeneity of repolarization mediated by the drug and demonstrates the arrhythmogenic potential of Class I antiarrhythmic drugs in patients with Brugada syndrome.
引用
收藏
页码:407 / 409
页数:3
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