Progression of electroanatomic substrate and electric storm recurrence in a patient with Brugada syndrome

Antonio Oliva, Pasquale Notarstefano, Maurizio Pieroni, Raffaele Guida, Teresa Rio, Simone Grotti, Aureliano Fraticelli, Leonardo Bolognese

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

In December 2011, a 39-year-old man resuscitated from out-of-hospital cardiac arrest caused by ventricular fibrillation received the diagnosis of Brugada syndrome on the basis of a spontaneous Brugada type 1 ECG pattern (Figure 1A). Before implantation of a cardioverter-defibrillator, the patient, after providing written informed consent, underwent a 3-dimensional electroanatomic mapping of the right ventricle (RV) as part of a clinical research study approved by ethics committee of our institution. A localized low-voltage area with delayed and fragmented potentials was evident in both bipolar and unipolar voltage maps in the anterior RV outflow tract. The patient was discharged with no antiarrhythmic medication and was free of arrhythmic events at implantable cardioverter-defibrillator interrogation for 1 year.
Original languageEnglish
Pages (from-to)838-841
Number of pages4
JournalCirculation
Volume131
DOIs
Publication statusPublished - 2015

Keywords

  • Brugada Syndrome
  • sudden cardiac death

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