HeartRhythm Case Reports

Slides:

Advertisements

Similar presentations

Date of download: 6/28/2016 Copyright © The American College of Cardiology. All rights reserved. From: Significance of Non-Type 1 Anterior Early Repolarization.

Advertisements

Abnormal epicardial electrophysiologic substrate in patients with early repolarization pattern and reduced left ventricular systolic function: A report.

Volume 13, Issue 1, Pages (January 2016)

Ellis Rochelson, MD, Lynn Nappo, RN, Robert H. Pass, MD

Unresponsive Male Annals of Emergency Medicine

Appearance of J wave in the inferolateral leads and ventricular fibrillation provoked by mild hypothermia in a patient with Brugada syndrome Yasuaki.

His-bundle pacing in a patient with dextrocardia, severe systolic dysfunction, and complete atrioventricular block Manuel Molina-Lerma, MD, Juan Jiménez-Jáimez,

Intracoronary acetylcholine–induced augmentation of J waves: A case of idiopathic ventricular fibrillation Shohei Kishi, MD, Koichi Fuse, MD, PhD, Hitoshi.

A 35-year effective treatment of catecholaminergic polymorphic ventricular tachycardia with propafenone Alexandra Marx, MD, Björn Lange, MD, Carsten.

Correlation between functional and ultrastructural substrate in Brugada syndrome Pablo E. Tauber, MD, Virginia Mansilla, MD, Guillermo Mercau, MD, Felix.

Is it bradycardia or something else causing symptoms?

Quinidine effective for the management of ventricular and atrial arrhythmias associated with Brugada syndrome Laura Halperin, BSc, Greg Mellor, MD, Mario.

T-wave oversensing during drug challenge test after subcutaneous implantable cardioverter-defibrillator implantation in a patient with Brugada syndrome

Use of topical lidocaine in eliminating mechanically stimulated ventricular fibrillation in a patient with short QT syndrome Maria J. Farag, BS, Joseph.

HeartRhythm Case Reports

Irregular wide QRS complex tachycardia in a patient with pulmonary hypertension: What is the mechanism? Abigail Louise D. Te, MD, Fa-Po Chung, MD, Yenn-Jiang.

Local activation delay exacerbates local J-ST elevation in the epicardium: Electrophysiological substrate in Brugada syndrome Naoya Kataoka, MD, PhD,

Repeated molecular genetic analysis in Brugada syndrome revealed a novel disease- associated large deletion in the SCN5A gene Anders Krogh Broendberg,

Atrial pacing for the management of ventricular arrhythmias in Andersen-Tawil syndrome Opeyemi Fadahunsi, MBBS, MPH, Bilal Shaikh, DO, Andrew Rettew,

Jonathan T. Jaffe, MD, Lee-Gardie Jean, MD, Richard J. Murray, MD

Failure of ICD therapy in lethal arrhythmogenic right ventricular cardiomyopathy type 5 caused by the TMEM43 p.Ser358Leu mutation Kasper Aalbæk Kjærgaard,

HeartRhythm Case Reports

Isolated, premature ventricular complex–induced right ventricular dysfunction mimicking arrhythmogenic right ventricular cardiomyopathy Antonio Berruezo,

Very late occurrence of complete heart block without preexisting atrioventricular conduction abnormalities: A rare complication after transaortic valvular.

Low room temperature can trigger ventricular fibrillation in J wave syndromes Masaru Yamaki, MD, Nobuyuki Sato, MD, PhD, Rina Imanishi, MD, Hirotsuka.

Oral quinine sulfate for the treatment of electrical storm and prevention of recurrent shocks in Brugada syndrome after failed cilostazol therapy Jayaprakash.

Early improvement of pacing threshold following primary right coronary angioplasty Fernando Pivatto Júnior, MD, Diego Chemello, MD, ScD, Geris Mazzutti,

Recurrent and late-onset coronary spasms after cryoballoon ablation procedure in a patient with atrial fibrillation Tomonori Watanabe, MD, Hitoshi Hachiya,

Kevin M. W. Leong, MBBS, MRCP, Henry Seligman, MBBS, MRCP, Amanda M

Recording of isolated very delayed potentials on the right ventricular epicardium in a patient with Brugada syndrome Atsuyuki Watanabe, MD, Hiroshi Morita,

Volume 9, Issue 1, Pages (January 2012)

Expanding the electrical phenotype of NKX2-5 mutations: Ventricular tachycardia, atrial fibrillation, and complete heart block within one family Simone.

Intravenous sotalol for conversion of atrial flutter in infants

Who is the guilty among these two silent killers?

Atrial fibrillation associated with Wolff-Parkinson-White syndrome in a patient with concomitant Brugada syndrome Shaobo Shi, MD, PhD, Tao Liu, MD, PhD,

Early repolarization syndrome caused by de novo duplication of KCND3 detected by next-generation sequencing Samuel Chauveau, MD, Alexandre Janin, PharmD,

Simrit K. Warring, MS, Heather N. Anderson, MD, J

Appropriate use of genetics in a young patient with atrioventricular block and family history of sudden cardiac death Johnni Rudbeck-Resdal, MD, Jens.

Bundle branch reentry: A novel mechanism for sustained ventricular tachycardia in Chagas heart disease Alvaro V. Sarabanda, MD, PhD, Wagner L. Gali,

Ankyrin-2 variants associated with idiopathic ventricular fibrillation storm in patients with intermittent early repolarization pattern Anders Krogh.

Jay A. Montgomery, MD, Dan M. Roden, MD, FHRS HeartRhythm Case Reports

Vagally mediated ventricular arrhythmia in Brugada syndrome

Progressive electrical remodeling in apical hypertrophic cardiomyopathy leading to implantable cardioverter-defibrillator sensing failure during ventricular.

Mitral valve repair results in suppression of ventricular arrhythmias and normalization of repolarization abnormalities in mitral valve prolapse Wael.

HeartRhythm Case Reports

Endocardial-only catheter ablation with substantial improvement in ventricular fibrillation recurrences in a patient with Brugada syndrome Tatsuya Hayashi,

IRX3 variant as a modifier of Brugada syndrome with frequent ventricular fibrillation Yoshitaka Kimura, MD, Takeshi Aiba, MD, PhD, Tetsuo Sasano, MD,

Volume 9, Issue 1, Pages (January 2012)

Spastic occlusion of coronary artery during cryoballoon pulmonary vein isolation Takashi Kaneshiro, MD, Yoshiyuki Matsumoto, MD, Minoru Nodera, MD, Masashi.

Different rate-dependent responses between J waves and the notches on an epicardial local electrogram in a patient with idiopathic ventricular fibrillation

Abnormal epicardial electrophysiologic substrate in patients with early repolarization pattern and reduced left ventricular systolic function: A report.

Impact of a novel algorithm designed to reduce T-wave oversensing with the subcutaneous defibrillator in a patient with type I Brugada electrocardiogram

The use of noninvasive ECG imaging for examination of a patient with Brugada syndrome Maria Chaykovskaya, MD, Boris Rudic, MD, Alexey Tsyganov, MD, Elena.

Colin Yeo, MBBS, Martin Green, MD, Robert Lemery, MD, FHRS

Radiofrequency catheter ablation for treatment of premature ventricular contractions triggering ventricular fibrillation from the right ventricular outflow.

Intermittent failure to capture: What is the mechanism?

Unusual severe hemodynamic failure associated with standard dose of intravenous flecainide for pharmacological cardioversion of atrial fibrillation Aref.

Quinidine for Brugada syndrome: Panacea or poison?

Nishaki Mehta, MD, Benjamin E. Peterson, MD, Roy M. John, MD, PhD

Majid Husain, MD, Anthony McCanta, MD, FHRS, Anjan S

Lengthening the atrioventricular delay reduces large left atrial v waves and dyspnea after atrial fibrillation and tachycardia ablation Raman Mitra,

Severe coronary artery spasm repeatedly induced after left pulmonary vein isolation in patient with atrial fibrillation Nobuhiro Honda, MD, Susumu Takase,

HeartRhythm Case Reports

Early repolarization syndrome: A case report focusing on dynamic electrocardiographic changes before ventricular arrhythmias and genetic analysis Vern.

Use of topical lidocaine in eliminating mechanically stimulated ventricular fibrillation in a patient with short QT syndrome Maria J. Farag, BS, Joseph.

Volume 6, Issue 9, Pages (September 2009)

Resolution of new left bundle branch block and ventricular tachycardia with immunosuppressive therapy in a patient with cardiac sarcoidosis Aatish Garg,

Brugada-type Electrocardiographic Pattern Unmasked by Fever

A case of sustained ventricular tachycardia due to pembrolizumab

HeartRhythm Case Reports

Presentation transcript:

HeartRhythm Case Reports Reproducibility and diagnostic usefulness of repeated sodium channel blocker test at higher precordial electrocardiogram recording in a patient with Brugada syndrome Eiichiro Nakagawa, MD, PhD, Takahiko Naruko, MD, PhD, Toshinori Makita, MD, PhD HeartRhythm Case Reports DOI: 10.1016/j.hrcr.2019.01.010 Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 1 A: A 12-lead electrocardiogram (ECG) recorded 1 hour after ventricular fibrillation showing a slight QRS prolongation with a QRS duration of 125 ms and up-sloping ST depression in precordial leads. B: A 12-lead ECG recorded 10 hours after ventricular fibrillation showing early repolarization in the inferior and lateral leads with a narrower QRS duration of 110 ms. HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2019.01.010) Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 2 Drug challenge test performed with intravenous 50 mg pilsicainide on the fourth admission day. Early repolarization pattern was present in the inferior leads before drug administration and saddleback-type ST-segment elevation with a J-point amplitude of 0.3 mV was provoked in lead V2 at the third intercostal space after drug administration. 3ICS = electrocardiogram was recorded at third intercostal space in leads V1, V2, and V3; 4ICS = electrocardiogram at fourth intercostal space. HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2019.01.010) Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 3 Repeat drug challenge test with intravenous 50 mg pilsicainide was performed on the 24th admission day. Saddleback-type ST-segment elevation was observed in lead V2 at the third intercostal space, with a J-point amplitude of 0.35 mV before drug administration, and coved-type ST-segment elevation was induced in leads V1 and V2 with a J-point amplitude of 0.22 and 0.52 mV, respectively, at the third intercostal space after drug administration. 3ICS = electrocardiogram was recorded at third intercostal space in leads V1, V2, and V3; 4ICS = electrocardiogram at fourth intercostal space. HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2019.01.010) Copyright © 2019 Heart Rhythm Society Terms and Conditions

Supplemental Figure 1 Spontaneous coved-type ST-segment elevation was observed in leads V1 and V2 both at the usual fourth and third intercostal spaces 1 year after ventricular fibrillation. 3ICS = ECG was recorded at third intercostal space in leads V1, V2, and V3; 4ICS = ECG was recorded at fourth intercostal space. HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2019.01.010) Copyright © 2019 Heart Rhythm Society Terms and Conditions