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Remote monitoring of a high-risk patient with Brugada syndrome: association of different arrhythmic manifestations

Remote monitoring of a high-risk patient with Brugada syndrome: association of different... We report on the remote arrhythmia monitoring of a 34-year-old man with highly symptomatic Brugada syndrome, who initially presented with syncope, paroxysmal atrial fibrillation, and spontaneous coved-type electrocardiogram. The patient received a dual-chamber implantable cardioverter-defibrillator (ICD) with Home Monitoring™ facilities and experienced recurrent ICD shocks for spontaneous ventricular fibrillation (VF) episodes during the first year after ICD implantation. Remote monitoring revealed an increased burden of premature ventricular complexes and atrial arrhythmias each time VF spontaneously occurred. Atrial and ventricular arrhythmias were effectively suppressed by low-dose quinidine without severe side effects. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Herzschrittmachertherapie + Elektrophysiologie Springer Journals

Remote monitoring of a high-risk patient with Brugada syndrome: association of different arrhythmic manifestations

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References (4)

Publisher
Springer Journals
Copyright
Copyright © 2013 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Cardiology
ISSN
0938-7412
eISSN
1435-1544
DOI
10.1007/s00399-013-0292-4
pmid
24154928
Publisher site
See Article on Publisher Site

Abstract

We report on the remote arrhythmia monitoring of a 34-year-old man with highly symptomatic Brugada syndrome, who initially presented with syncope, paroxysmal atrial fibrillation, and spontaneous coved-type electrocardiogram. The patient received a dual-chamber implantable cardioverter-defibrillator (ICD) with Home Monitoring™ facilities and experienced recurrent ICD shocks for spontaneous ventricular fibrillation (VF) episodes during the first year after ICD implantation. Remote monitoring revealed an increased burden of premature ventricular complexes and atrial arrhythmias each time VF spontaneously occurred. Atrial and ventricular arrhythmias were effectively suppressed by low-dose quinidine without severe side effects.

Journal

Herzschrittmachertherapie + ElektrophysiologieSpringer Journals

Published: Oct 24, 2013

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