Key result
Radiofrequency catheter ablation successfully treated exercise-induced monomorphic ventricular tachycardia and atrioventricular nodal reentrant tachycardia in a 41-year-old man with Brugada syndrome.
Case Report (n=1)
No
This case report highlights an unusual presentation of Brugada syndrome with exercise-induced monomorphic ventricular tachycardia and atrioventricular nodal reentrant tachycardia, successfully managed with radiofrequency ablation and an ICD.
Answers are grounded in this paper and cite their sources.
May support ablation for dual arrhythmias in Brugada syndrome; leaves open need for confirmatory trials.
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.
No takes yet. Share an insight, caveat, or question.
Goto et al. (2015) conducted a case report in Brugada syndrome with monomorphic ventricular tachycardia and atrioventricular nodal reentrant tachycardia (n=1). Radiofrequency catheter ablation and ICD implantation was evaluated. Radiofrequency catheter ablation successfully treated exercise-induced monomorphic ventricular tachycardia and atrioventricular nodal reentrant tachycardia in a 41-year-old man with Brugada syndrome.
Synapse has enriched 10 related papers. Consider them for comparative context: