Ajmaline-induced Brugada Phenocopy, Right Bundle Branch Block, or Both?

In equivocal or suspected cases of Brugada syndrome (BrS), ajmaline testing is frequently used in the diagnostic approach. However, the administration of sodium channel blockers can not only elicit the coved ST-segment elevation characteristic of type 1 Brugada pattern but also induce right bundle b...

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Autores principales: Kafes, Habibe, Can, Irem Dilara, Yaman, Nezaket Merve, Kara, Meryem, Korkmaz, Ahmet, Ozeke, Ozcan, Cay, Serkan, Ozcan, Firat, Topaloglu, Serkan, Aras, Dursun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MediaSphere Medical 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8476095/
https://www.ncbi.nlm.nih.gov/pubmed/34595052
http://dx.doi.org/10.19102/icrm.2021.120906
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author Kafes, Habibe
Can, Irem Dilara
Yaman, Nezaket Merve
Kara, Meryem
Korkmaz, Ahmet
Ozeke, Ozcan
Cay, Serkan
Ozcan, Firat
Topaloglu, Serkan
Aras, Dursun
author_facet Kafes, Habibe
Can, Irem Dilara
Yaman, Nezaket Merve
Kara, Meryem
Korkmaz, Ahmet
Ozeke, Ozcan
Cay, Serkan
Ozcan, Firat
Topaloglu, Serkan
Aras, Dursun
author_sort Kafes, Habibe
collection PubMed
description In equivocal or suspected cases of Brugada syndrome (BrS), ajmaline testing is frequently used in the diagnostic approach. However, the administration of sodium channel blockers can not only elicit the coved ST-segment elevation characteristic of type 1 Brugada pattern but also induce right bundle branch block (RBBB), which can preclude the electrocardiographic manifestations of BrS. We describe a case report wherein RBBB posed a diagnostic challenge during the ajmaline test for suspected BrS.
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spelling pubmed-84760952021-09-29 Ajmaline-induced Brugada Phenocopy, Right Bundle Branch Block, or Both? Kafes, Habibe Can, Irem Dilara Yaman, Nezaket Merve Kara, Meryem Korkmaz, Ahmet Ozeke, Ozcan Cay, Serkan Ozcan, Firat Topaloglu, Serkan Aras, Dursun J Innov Card Rhythm Manag Case Report In equivocal or suspected cases of Brugada syndrome (BrS), ajmaline testing is frequently used in the diagnostic approach. However, the administration of sodium channel blockers can not only elicit the coved ST-segment elevation characteristic of type 1 Brugada pattern but also induce right bundle branch block (RBBB), which can preclude the electrocardiographic manifestations of BrS. We describe a case report wherein RBBB posed a diagnostic challenge during the ajmaline test for suspected BrS. MediaSphere Medical 2021-09-15 /pmc/articles/PMC8476095/ /pubmed/34595052 http://dx.doi.org/10.19102/icrm.2021.120906 Text en Copyright: © 2021 Innovations in Cardiac Rhythm Management https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kafes, Habibe
Can, Irem Dilara
Yaman, Nezaket Merve
Kara, Meryem
Korkmaz, Ahmet
Ozeke, Ozcan
Cay, Serkan
Ozcan, Firat
Topaloglu, Serkan
Aras, Dursun
Ajmaline-induced Brugada Phenocopy, Right Bundle Branch Block, or Both?
title Ajmaline-induced Brugada Phenocopy, Right Bundle Branch Block, or Both?
title_full Ajmaline-induced Brugada Phenocopy, Right Bundle Branch Block, or Both?
title_fullStr Ajmaline-induced Brugada Phenocopy, Right Bundle Branch Block, or Both?
title_full_unstemmed Ajmaline-induced Brugada Phenocopy, Right Bundle Branch Block, or Both?
title_short Ajmaline-induced Brugada Phenocopy, Right Bundle Branch Block, or Both?
title_sort ajmaline-induced brugada phenocopy, right bundle branch block, or both?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8476095/
https://www.ncbi.nlm.nih.gov/pubmed/34595052
http://dx.doi.org/10.19102/icrm.2021.120906
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