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Europace 2003 5(3):257-261; doi:10.1016/S1099-5129(03)00034-5
© 2003 by European Society of Cardiology
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BRUGADA SYNDROME AND FEVER CASE REPORT-1

Incessant monomorphic ventricular tachycardia during febrile illness in a patient with Brugada syndrome: fatal electrical storm

M. H. Dinckal1, V. Davutoglu1, I. Akdemir1, S. Soydinc1, A. Kirilmaz2 and M. Aksoy1

1Department of Cardiology, Medical Faculty of Gaziantep University Gaziantep, Turkey; 2Department of Cardiology, Gulhane Military Medical Academy Ankara, Turkey

A 55-year-old male with structurally normal heart presented with sustained monomorphic ventricular tachycardia (VT) and was cardioverted into sinus rhythm revealing a right bundle branch block pattern at baseline electrocardiography. Sustained monomorphic and nonsustained polymorphic VT were reproducibly inducible during electrophysiological study. During the diagnostic workup, the patient experienced fever due to hospital based pneumonia, which unmasked typical ST segment changes of Brugada syndrome. In the intensive care unit, fever became intractable leading to incessant monomorphic VT, which was resistant to all medical manoeuvers resulting in the patient's death.

Key Words: Brugada syndrome, fever, monomorphic VT, fatal electrical storm

Correspondence: Mustafa Hakan Dinckal, Gazi Mah. Karacaoglan Cad. No: 26/B-1 Sukru Ercan Apt, Sehitkamil/Gaziantep, Turkey. Tel: +90-342-335-2998; Fax: +90-342-360-1617; E-mail: mhdinckal{at}gantep.edu.tr


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