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Case Reports
. 2012 Aug 13:2012:bcr0420114156.
doi: 10.1136/bcr.04.2011.4156.

Isoprenaline and quinidine to calm Brugada VF storm

Guy Furniss  1
Affiliations
Case Reports

Isoprenaline and quinidine to calm Brugada VF storm

Guy Furniss. BMJ Case Rep. .

Abstract

A 3-year-old man with an implanted cardioverter-defibrillator (ICD) for type 2 Brugada syndrome was admitted to coronary care unit with ventricular fibrillation electrical storm and consequent appropriate recurrent ICD shocks. The rhythm did not settle with conventional antiarrhythmics such as β-blockers and amiodarone. An isoprenaline infusion was set up with immediate stabilisation of rhythm. After a period of monitoring, the infusion was stopped and oral quinidine was started. He has remained free of problems for 1 year. This case-report summarises these novel treatments for electrical storm in Brugada syndrome and the mechanism behind them.

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Conflict of interest statement

Competing interests: None.

Figures

Figure 1
Figure 1
The resting ECG on admission to coronary care.
Figure 2
Figure 2
Examples of ventricular ectopy.
Figure 3
Figure 3
Ventricular ectopy and a salvo of polymorphic ventricular tachycardia.
See this image and copyright information in PMC

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References

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