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Europace Advance Access originally published online on November 10, 2006
Europace 2006 8(12):1048-1050; doi:10.1093/europace/eul117
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

ELECTROPHYSIOLOGY

Syncopal monomorphic ventricular tachycardia with pleomorphism, sensitive to antitachycardia pacing in a patient with Brugada syndrome

Vicente Bertomeu-Gonzalez*, Ricardo Ruiz-Granell, Roberto García-Civera, Salvador Morell-Cabedo and Angel Ferrero

Department of Cardiology, Hospital Clinico Universitario de Valencia, Blasco Ibañez 17, 46010 Valencia, Spain

Polymorphic ventricular tachycardia and ventricular fibrillation are the most common arrhythmias in Brugada syndrome, causing syncope or sudden death. Sustained monomorphic ventricular tachycardias are rare in this context. We report the case of a 41-year-old man with repetitive syncopal episodes and an ajmaline-induced characteristic Brugada ECG pattern, in whom episodes of monomorphic ventricular tachycardia with pleomorphism and response to ventricular pacing were documented.

Key Words: Brugada syndrome, Monomorphic ventricular tachycardia, Anti-tachycardia pacing

* Corresponding author. Tel: +34 657985351; fax: +34 963862658. E-mail address: vbertog{at}secardiologia.es


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