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HeartRhythm Case Reports

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Presentation on theme: "HeartRhythm Case Reports"— Presentation transcript:

1 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: /j.hrcr Copyright © 2019 Heart Rhythm Society Terms and Conditions

2 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: ( /j.hrcr ) Copyright © 2019 Heart Rhythm Society Terms and Conditions

3 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: ( /j.hrcr ) Copyright © 2019 Heart Rhythm Society Terms and Conditions

4 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: ( /j.hrcr ) Copyright © 2019 Heart Rhythm Society Terms and Conditions

5 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: ( /j.hrcr ) Copyright © 2019 Heart Rhythm Society Terms and Conditions

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

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

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

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.

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?

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.

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

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.

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

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,

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

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