Programmed Ventricular Stimulation in Brugada Syndrome: An Irrefusable Offer or an Inaccurate Tool for Patients with Absent or Doubtful Symptoms?

Authors

  • Antonis S Manolis Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
  • Sokratis Avlonitis Private Practice, Kavala, Greece

Keywords:

Brugada syndrome, sudden cardiac death, ventricular fibrillation, electrophysiology study, programmed ventricular stimulation, implantable cardioverter defibrillator

Abstract

A case of a patient with Brugada pattern on ECG is presented with dubious symptoms whose management was guided by an electrophysiology (EP) study where programmed ventricular stimulation easily induced ventricular fibrillation with only two ventricular extrastimuli and facilitated a decision to implant a defibrillator for sudden death protection. Images of the EP tracings are provided that illustrate the findings and the pros and cons of such an approach are herein discussed. Rhythmos 2019;14(3):55-57.

References

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Published

2019-07-20

Issue

Vol. 14 No. 3 (2019)

Section

Images in Cardiology

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