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An Iatrogenically Unmasked Life Threatening Disease: Brugada Syndrome

  • 발행 : 2013.06.30

초록

Brugada syndrome is a life threatening disease that is usually overlooked during emergency service admissions. It is characterized by typical electrocardiography resembling right bundle branch block, static or dynamic ST-segment elevation in leads V 1-3. There is familial tendency in some cases. A majority of patients have a structurally normal heart and are likely to remain asymptomatic, however they may present to emergency departments with syncope and various serious arrhythmias. Therefore it is crucially important for emergency medicine physicians not to omit this potential diagnosis. Herein we report a case with Brugada syndrome which was iatrogenically unmasked after propafenone administration for atrial fibrillation.

키워드

참고문헌

  1. Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome. A multicenter report. J Am Coll Cardiol 1992;20:1391-6. https://doi.org/10.1016/0735-1097(92)90253-J
  2. Brugada J, Brugada R, Brugada P. Right bundle-branch block and STsegment elevation in leads V1 through V3: a marker for sudden death in patients without demonstrable structural heart disease. Circulation 1998;97:457-60. https://doi.org/10.1161/01.CIR.97.5.457
  3. Antzelevitch C. The Brugada syndrome. J Cardiovasc Electrophysiol 1998;9:513-6. https://doi.org/10.1111/j.1540-8167.1998.tb01844.x
  4. Chutani S, Imran N, Grubb B, Kanjwal Y. Propafenone-induced Brugada- like ECG changes mistaken as acute myocardial infarction. Emerg Med J 2008;25:117-8. https://doi.org/10.1136/emj.2007.052829

피인용 문헌

  1. Propafenone : Unmasking of Brugada syndrome: case report vol.1467, pp.1, 2013, https://doi.org/10.1007/s40278-013-5560-x