Utility of Oral Quinine Sulfate for the Treatment of Brugada Syndrome Presenting as Electrical Storm in Remote Areas: Resilience in the COVID-19 Era

Electrical storm is a malignant presentation of Brugada syndrome (BrS). Pharmacologic antiarrhythmic therapy is mandatory for this condition, followed by implantation of an implantable cardioverter–defibrillator to prevent sudden cardiac death. We report a case of a BrS patient presenting with elect...

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Detalles Bibliográficos
Autores principales: Amir, Muzakkir, Muzakkir, Akhtar Fajar, Kabo, Peter, Suryajaya, Paskalis Indra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8714491/
https://www.ncbi.nlm.nih.gov/pubmed/34977522
http://dx.doi.org/10.1016/j.cjco.2021.09.001
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author Amir, Muzakkir
Muzakkir, Akhtar Fajar
Kabo, Peter
Suryajaya, Paskalis Indra
author_facet Amir, Muzakkir
Muzakkir, Akhtar Fajar
Kabo, Peter
Suryajaya, Paskalis Indra
author_sort Amir, Muzakkir
collection PubMed
description Electrical storm is a malignant presentation of Brugada syndrome (BrS). Pharmacologic antiarrhythmic therapy is mandatory for this condition, followed by implantation of an implantable cardioverter–defibrillator to prevent sudden cardiac death. We report a case of a BrS patient presenting with electrical storm in a remote area. A referral to tertiary healthcare services was turned down due to the capacity demands of COVID-19 cases. Oral quinine was used as a bailout therapy and successfully maintained the arrhythmia suppression. Our case confirms that quinine is a reliable option to suppress electrical storm in BrS.
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spelling pubmed-87144912021-12-29 Utility of Oral Quinine Sulfate for the Treatment of Brugada Syndrome Presenting as Electrical Storm in Remote Areas: Resilience in the COVID-19 Era Amir, Muzakkir Muzakkir, Akhtar Fajar Kabo, Peter Suryajaya, Paskalis Indra CJC Open Case Report Electrical storm is a malignant presentation of Brugada syndrome (BrS). Pharmacologic antiarrhythmic therapy is mandatory for this condition, followed by implantation of an implantable cardioverter–defibrillator to prevent sudden cardiac death. We report a case of a BrS patient presenting with electrical storm in a remote area. A referral to tertiary healthcare services was turned down due to the capacity demands of COVID-19 cases. Oral quinine was used as a bailout therapy and successfully maintained the arrhythmia suppression. Our case confirms that quinine is a reliable option to suppress electrical storm in BrS. Elsevier 2021-09-06 /pmc/articles/PMC8714491/ /pubmed/34977522 http://dx.doi.org/10.1016/j.cjco.2021.09.001 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Amir, Muzakkir
Muzakkir, Akhtar Fajar
Kabo, Peter
Suryajaya, Paskalis Indra
Utility of Oral Quinine Sulfate for the Treatment of Brugada Syndrome Presenting as Electrical Storm in Remote Areas: Resilience in the COVID-19 Era
title Utility of Oral Quinine Sulfate for the Treatment of Brugada Syndrome Presenting as Electrical Storm in Remote Areas: Resilience in the COVID-19 Era
title_full Utility of Oral Quinine Sulfate for the Treatment of Brugada Syndrome Presenting as Electrical Storm in Remote Areas: Resilience in the COVID-19 Era
title_fullStr Utility of Oral Quinine Sulfate for the Treatment of Brugada Syndrome Presenting as Electrical Storm in Remote Areas: Resilience in the COVID-19 Era
title_full_unstemmed Utility of Oral Quinine Sulfate for the Treatment of Brugada Syndrome Presenting as Electrical Storm in Remote Areas: Resilience in the COVID-19 Era
title_short Utility of Oral Quinine Sulfate for the Treatment of Brugada Syndrome Presenting as Electrical Storm in Remote Areas: Resilience in the COVID-19 Era
title_sort utility of oral quinine sulfate for the treatment of brugada syndrome presenting as electrical storm in remote areas: resilience in the covid-19 era
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8714491/
https://www.ncbi.nlm.nih.gov/pubmed/34977522
http://dx.doi.org/10.1016/j.cjco.2021.09.001
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