Development of monomorphic ventricular tachycardia in a patient with fever‐induced Brugada syndrome

A 50‐year‐old woman visited the emergency department with a high fever due to pneumonia. Incessant monomorphic ventricular tachycardia occurred and was terminated by intravenous lidocaine. Her ECG during sinus rhythm demonstrated ST segment elevation suggestive of Brugada syndrome (BS). An intensive...

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Detalles Bibliográficos
Autores principales: Sato, Yuriko, Aizawa, Yoshiyasu, Fujisawa, Taishi, Ito, Shogo, Katano, Kousuke, Fuse, Nozomi, Miyabe, Akira, Osada, Kimihiro, Ishihara, Ryuuma, Tosaka, Atushi, Tamamura, Toshitake, Mizumura, Taisuke, Sugimura, Youichi, Nakajima, Kazuaki, Katsumata, Yoshinori, Nishiyama, Takahiko, Kimura, Takehiro, Furukawa, Yoshiko, Takatsuki, Seiji, Kosaki, Kenjiro, Fukuda, Keiichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111464/
https://www.ncbi.nlm.nih.gov/pubmed/30167021
http://dx.doi.org/10.1002/joa3.12068
Descripción
Sumario:A 50‐year‐old woman visited the emergency department with a high fever due to pneumonia. Incessant monomorphic ventricular tachycardia occurred and was terminated by intravenous lidocaine. Her ECG during sinus rhythm demonstrated ST segment elevation suggestive of Brugada syndrome (BS). An intensive examination could not detect any structural disease, and typical coved‐type ST elevation was unmasked by a pilsicainide injection leading to a diagnosis of BS. An ICD was implanted for secondary prevention of ventricular arrhythmia. The patient has been free from any recurrences of arrhythmia for 3 years.

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