Coexistence of Brugada and Wolff Parkinson White syndromes: A case report and review of the literature
| Autor: | Ahmet Kaya Bilge, Gökhan Aksan, Mehmet Tezcan, Ali Elitok, Özgür Çevrim |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male lcsh:Internal medicine lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty medicine.medical_treatment Bundle-Branch Block lcsh:Medicine Catheter ablation Accessory pathway 030204 cardiovascular system & hematology Dizziness Syncope 03 medical and health sciences Electrocardiography 0302 clinical medicine Recurrence Internal medicine Palpitations Medicine ST segment Animals Humans cardiovascular diseases 030212 general & internal medicine lcsh:RC31-1245 Brugada Syndrome Ajmaline medicine.diagnostic_test Bundle branch block business.industry lcsh:R medicine.disease Defibrillators Implantable syncope wolff parkinson white syndrome lcsh:RC666-701 Ventricular fibrillation Ventricular Fibrillation Cardiology Catheter Ablation Wolff-Parkinson-White Syndrome medicine.symptom Cardiology and Cardiovascular Medicine business Electrophysiologic Techniques Cardiac Anti-Arrhythmia Agents medicine.drug |
| Zdroj: | Türk Kardiyoloji Derneği Arşivi, Vol 46, Iss 6, Pp 488-493 (2018) |
| ISSN: | 1308-4488 |
| Popis: | A 31-year-old male patient presented with complaints of palpitations, dizziness, and recurrent episodes of syncope. A 12-lead electrocardiogram (ECG) revealed manifest ventricular preexcitation, which suggested Wolff Parkinson White syndrome. In addition, an incomplete right bundle branch block and a 3-mm ST segment elevation ending with inverted T-waves in V2 were consistent with coved-type (type 1) Brugada pattern. An electrophysiological study was performed, and during the mapping, the earliest ventricular activation with the shortest A-V interval was found on the mitral annulus posterolateral site. After successful radiofrequency catheter ablation of the accessory pathway, the Brugada pattern on the ECG changed, which prompted an ajmaline provocation test. A type 1 Brugada ECG pattern occurred following the administration of ajmaline. Considering the probable symptom combinations of these 2 coexisting syndromes and the presence of recurrent episodes of syncope, programmed ventricular stimulation was performed and subsequently, ventricular fibrillation was induced. An implantable cardioverter-defibrillator was implanted soon after. |
| Databáze: | OpenAIRE |
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