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Europace 2002 4(1):87-89; doi:10.1053/eupc.2001.0201
© 2002 by European Society of Cardiology
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ELECTROPHYSIOLOGY

Brugada syndrome in a patient with accessory pathway

A. I. Bodegas, J. I. Arana, Y. Vitoria, J. R. Arriandiaga and J. I. Barrenetxea

Arrhythmia Unit, Department of Cardiology, Hospital de Cruces Barakaldo, Basque Country, Spain

Abstract

Brugada syndrome in a patient with Wolff–Parkinson–White syndrome. We report a 32-year-old man with orthodromic atrioventricular (AV) reciprocating tachycardia using a right posterior accessory pathway. However, his ECG showed ST segment elevation in leads V1 to V3. After successful radiofrequency ablation of his accessory pathway a cardioverter defibrillator was implanted.

Key Words: Death, sudden ventricular fibrillation, implantable defibrillator, accessory pathway, Brugada syndrome

Correspondence: Andrés I. Bodegas, Unidad de Arritmias, Servicio de Cardiología, Hospital de Cruces, 48903 Barakaldo, Spain. E-mail: abodegas{at}hcru.osakidetza.net

References

[1] Brugada P and Brugada J. Right bundle branch block, persistent ST segment elevation and sudden cardiac death: A distintict clinical and electrocardiographic syndrome. A multicenter report. J Am Coll Cardiol 1992; 20: 1391–1396.[Abstract]

[2] Gussak Y, Antzelevitch Ch, Bjerregaard P, Towbin J, Chaitman B. The Brugada syndrome: Clinical, electrophysiologic and genetic aspects. J Am Coll Cardiol 1999; 33: 5–15.[Abstract/Free Full Text]

[3] Towbin JA and Vatta M. The genetics of cardiac arrhythmias. Pacing Clin Electrophysiol 2000; 23: 106–119.[CrossRef][Medline]

[4] Brugada J, Brugada P, Brugada R. Sudden death in Brugada syndrome and right ventricular cardiomyopathies. Similarities and differences. Rev Esp Cardiol 2000; 53: 275–285.[Medline]

[5] Brugada R, Brugada J, Antzelevitch Ch, et al. Sodium channel blockers identify risk for sudden death in patients with ST-segment elevation and right bundle branch block but structurally normal hearts. Circulation 2000; 101: 510–515.[Abstract/Free Full Text]

[6] Antzelevitch C, Brugada P, Brugada J, Brugada R, Nademanee K, Towbin J. In Camm J (Ed.). The Brugada Syndrome 1999; Armonk Futura Publishing Co pp. 70.

[7] Chen Q, Kirsch GE, Zhang D, et al. Genetic basis and molecular mechanisms for idiopathic ventricular fibrillation. Nature 1998; 392: 293–296.[CrossRef][Medline]


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This Article
Right arrow Abstract Freely available
Right arrow FREE Full Text (PDF) Freely available
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ISI Web of Science (4)
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Right arrow Articles by Barrenetxea, J. I.
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