Key result
Procainamide provocation reveals a Type-I Brugada pattern in a syncope patient with atypical monomorphic VT.
Case Report (n=1)
Highlights that sustained monomorphic ventricular tachycardia can be a rare presentation of Brugada syndrome.
May suggest Brugada unmasking in unexplained syncope with monomorphic VT; leaves open prevalence and management implications.
Polymorphic ventricular tachycardia and ventricular fibrillation are the most common arrhythmias in Brugada syndrome causing syncope or sudden death. Sustained monomorphic ventricular tachycardias are rare in this context. We report of a patient with syncopal episodes due to episodes of sustained ventricular tachycardia, where a Type-I Brugada pattern was revealed after pharmacological provocation with procainamide.
No takes yet. Share an insight, caveat, or question.
Almpanis et al. (2011) conducted a case report in Brugada syndrome (n=1). Procainamide provocation was evaluated on Revelation of Type-I Brugada pattern. Pharmacological provocation with procainamide revealed a Type-I Brugada pattern in a patient with syncopal episodes due to atypical sustained monomorphic ventricular tachycardia.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: