Brugada syndrome combined with monomorphic ventricular tachycardia and atrioventricular nodal reentrant tachycardia

Intern Med. 2015;54(10):1223-6. doi: 10.2169/internalmedicine.54.3250. Epub 2015 May 15.

Abstract

A 41-year-old man developed sustained monomorphic ventricular tachycardia (VT) with a left bundle branch block and inferior axis pattern during treadmill exercise concomitantly with unmasking of the typical Brugada electrocardiography (ECG) pattern. The typical ECG phenotype was provoked by a class IC drug. VT was not inducible with programmed electrical stimulation, but premature ventricular beat and non-sustained VT with the same morphology increased in frequency with isoproterenol treatment. Additionally, atrioventricular nodal reentrant tachycardia (AVNRT) was induced by electrical stimulation and VT and AVNRT were treated by radiofrequency catheter ablation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Arrhythmia Agents
  • Brugada Syndrome / diagnosis*
  • Brugada Syndrome / physiopathology
  • Brugada Syndrome / therapy
  • Bundle-Branch Block / physiopathology
  • Catheter Ablation*
  • Electrocardiography
  • Exercise Test
  • Humans
  • Male
  • Tachycardia, Atrioventricular Nodal Reentry / diagnosis*
  • Tachycardia, Atrioventricular Nodal Reentry / physiopathology
  • Tachycardia, Atrioventricular Nodal Reentry / therapy
  • Tachycardia, Ventricular / diagnosis*
  • Tachycardia, Ventricular / physiopathology
  • Tachycardia, Ventricular / therapy

Substances

  • Anti-Arrhythmia Agents