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Case Reports
. 2015 Jun 6;1(5):285-289.
doi: 10.1016/j.hrcr.2015.02.013. eCollection 2015 Sep.

Ventricular fibrillation in lone atrial fibrillation as clinical manifestation of latent Brugada syndrome: Usefulness of flecainide testing

Carlo Pappone  1 , Gabriele Vicedomini  1 , Andrea Petretta  1 , Luigi Giannelli  1 , Amarild Cuko  1 , Vincenzo Santinelli  1
Affiliations
Case Reports

Ventricular fibrillation in lone atrial fibrillation as clinical manifestation of latent Brugada syndrome: Usefulness of flecainide testing

Carlo Pappone et al. HeartRhythm Case Rep. .
No abstract available

Keywords: AF, atrial fibrillation; Atrial fibrillation; BrS, Brugada syndrome; Brugada syndrome; EPT, electrophysiologic testing; Flecainide; ICD, implantable cardioverter-defibrillator; Sudden death; VF, ventricular fibrillation; VT, ventricular tachycardia; Ventricular fibrillation.

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Figures

Figure 1
Figure 1
A: Baseline 12-lead ECG shows no abnormality. B: After flecainide testing, a coved ST-segment elevation in leads V1–V2 compatible with a type I Brugada syndrome ECG pattern was evident.
Figure 2
Figure 2
Programmed ventricular stimulation resulted in concomitant development of ventricular fibrillation (VF) and atrial fibrillation (AF). VF lasted 7 seconds and spontaneously reverted to sustained AF. The paper speeds are as follows: A: 16 mm/s; B: 25 mm/s.
Figure 3
Figure 3
Twelve-lead ECG after electrophysiologic testing showing a stable sinus rhythm with coved Brugada syndrome pattern.
See this image and copyright information in PMC

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