Abstract
We report the case of a very prolonged spontaneous episode of self-terminating ventricular
fibrillation in a patient with Brugada syndrome (BrS). The patient first underwent
implantation of an internal loop recorder after an episode of prolonged loss of consciousness
(several minutes) that was suggestive of a nonarrhythmic cause. After a second episode
of prolonged syncope, subsequent interrogation of the loop recorder revealed a very
prolonged episode of self-terminating ventricular arrhythmia, lasting 2 minutes and
41 seconds. This short report emphasizes the fact that an arrhythmic cause of syncope
should not be ruled out in patients with BrS presenting with very prolonged loss of
consciousness.
Résumé
Nous rapportons le cas d’un épisode très prolongé de fibrillation ventriculaire spontanément
résolutive chez un patient atteint du syndrome de Brugada (SBr). Le patient était
porteur d'un holter implantable suite à un épisode de perte de connaissance prolongée
(plusieurs minutes) qui était évocatrice d'une cause non rythmique. Après un deuxième
épisode de syncope prolongée, l’interrogation des mémoires du holter implantable a
révélé un épisode très prolongé d’arythmie ventriculaire spontanément résolutive ayant
duré 2 minutes et 41 secondes. Ce court rapport met l’accent sur le fait qu’une cause
rythmique de syncope ne doit pas être écartée chez les patients porteurs du SBr présentant
une perte de connaissance très prolongée.
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References
- Executive summary: HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes.Heart Rhythm. 2013; ([Epub ahead of print])
- Use of implantable loop recorders in patients with Brugada syndrome and suspected risk of ventricular arrhythmia.Europace. 2012; 14: 898-902
- Cycle length characteristics differentiating non-sustained from self-terminating ventricular fibrillation in Brugada syndrome.Europace. 2013; 15: 1313-1318
- Syncope in Brugada syndrome patients: prevalence, characteristics, and outcome.Heart Rhythm. 2012; 9: 1272-1279
Article Info
Publication History
Accepted:
September 8,
2013
Received:
August 19,
2013
Footnotes
See page 1742.e2 for disclosure information.
Identification
Copyright
© 2013 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
