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Europace Advance Access published online on April 3, 2009
Europace, doi:10.1093/europace/eup070
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

SHORT COMMUNICATION

Electrical storm in Brugada syndrome successfully treated with orciprenaline; effect of low-dose quinidine on the electrocardiogram

Konstantinos Kyriazis*, Edda Bahlmann, Hendrik van der Schalk and Karl-Heinz Kuck

Asklepios Hospital St. Georg, Department of Cardiology, Lohmühlenstrasse 5, 20099 Hamburg, Germany

We report a case of an electrical storm occurring in a patient implanted with a cardioverter defibrillator for symptomatic Brugada syndrome. Recurrent ventricular fibrillation was initiated by short-coupled premature ventricular beats of right ventricular origin, associated with a fixed Brugada type 2 electrocardiographic pattern. Low-dose orciprenaline application as an intravenous bolus followed by an infusion inhibited the recurrence of ventricular fibrillation and normalized the electrocardiographic pattern. Low-dose oral quinidine had only a moderate effect on the ST-elevation.

* Corresponding author. Tel: +49 4101 834298, Fax: +49 40 18188852499, Email: kyriazis_k{at}yahoo.com

Manuscript submitted 23 December 2008. Accepted after revision 2 March 2009.


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