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. 2007;15(4):151-5.
doi: 10.1007/BF03085972.

Electrical storms in Brugada syndrome successfully treated with isoproterenol infusion and quinidine orally

J K Jongman  1 , N Jepkes-Bruin, A R Ramdat Misier, W P Beukema, P P H M Delnoy, H Oude Lutttikhuis, J H E Dambrink, J C A Hoorntje, A Elvan
Affiliations

Electrical storms in Brugada syndrome successfully treated with isoproterenol infusion and quinidine orally

J K Jongman et al. Neth Heart J. 2007.

Abstract

Brugada syndrome is an inherited cardiac disease and is associated with a peculiar pattern on the electrocardiogram and an increased risk of sudden death. Electrical storm is a malignant but rare phenomenon in symptomatic patients with Brugada syndrome. We describe a patient who presented with repetitive ICD discharges during two episodes of recurrent VF. After the initiation of isoproterenol infusion and oral quinidine, the ventricular tachyarrhythmias were successfully suppressed. (Neth Heart J 2007;15:151-4.).

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Figures

Figure 1.
Figure 1.
ECG with typical features of Brugada syndrome (type 2 pattern).
Figure 2.
Figure 2.
The onset of ventricular fibrillation, induced by a (short coupled) ventricular premature complex. See text for details.
Figure 3.
Figure 3.
Ventricular fibrillation converted to sinus rhythm by ICD discharge. See text for details.
Figure 4.
Figure 4.
The ECG A) on admission to the CCU; B) after initiation of the isoproterenol infusion and before oral quinidine was started. There is a decrease in ST-segment elevation especially in lead V2; C) after quinidine 200 mg three times a day and after discontinuing the isoproterenol infusion, with ongoing resolution of the ST-segment elevation. See text for details.
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