Brugada syndrome case: difficult differentiation between a concealed form and tricyclic antidepressant-induced Brugada sign.
Intern Med
; 48(17): 1535-9, 2009.
Article
em En
| MEDLINE
| ID: mdl-19721299
ABSTRACT
We describe a case of Brugada syndrome, in which recurrent syncope with convulsive seizures was induced after antidepressant treatment. The patient had been treated with five kinds of psychotropic drugs. The twelve-lead ECG after the syncope exhibited an RSR'-pattern in the precordial leads, however, a coved type ST-segment elevation was induced by a pilsicainide test. Although ventricular fibrillation was not induced in the electrophysiologic study, an ICD implantation was considered as the recommended therapy since Brugada syndrome unmasked by antidepressants could not be ruled out. The possible contribution of antidepressants to Brugada type ST-segment changes is discussed.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Síndrome de Brugada
/
Antidepressivos Tricíclicos
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Intern Med
Ano de publicação:
2009
Tipo de documento:
Article