Arrhythmic storm responsive to quinidine in a patient with Brugada syndrome and vasovagal syncope
Por:
Márquez M.F., Rivera J., Hermosillo A.G., Iturralde P., Colín L., Moragrega J.L., Cárdenas M.
Publicada:
1 ene 2005
Resumen:
A 37-year-old man with Brugada syndrome (BrS) and arrhythmic storm is described. One month after implantation of a cardioverter-defibrillator he presented with recurrent appropriate shocks for spontaneous ventricular fibrillation (VF). Because of this arrhythmic storm, quinidine therapy was initiated with total suppression of all spontaneous arrhythmias. He had remained free of arrhythmias for 22 months since quinidine initiation. Two episodes of VF occurred after the patient stopped taking the medication. The patient resumed quinidine and has been free of VF for the last 3 months. This response to quinidine in a patient with symptomatic BrS supports its role in the prophylaxis of arrhythmic events in BrS.
Filiaciones:
Márquez M.F.:
Department of Electrocardiology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
Instituto Nacional de Cardiología Ignacio Chávez, Department of Electrocardiology, Juan Badiano 1, Tlalpan 14080, Mexico City, Mexico
Rivera J.:
Department of Electrocardiology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
Hermosillo A.G.:
Department of Electrocardiology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
Iturralde P.:
Department of Electrocardiology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
Colín L.:
Department of Electrocardiology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
Moragrega J.L.:
Department of Electrocardiology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
Cárdenas M.:
Department of Electrocardiology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
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