Massive Electrical Storm at Disease Onset in a Patient with Brugada Syndrome

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Massive Electrical Storm at Disease Onset in a Patient with Brugada Syndrome. / Pallisgaard, Jannik L; Gang, Uffe; Kanters, Jørgen K.; Hansen, Peter R.

I: Journal of Electrocardiology, Bind 15, 2014, s. 559-561.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Pallisgaard, JL, Gang, U, Kanters, JK & Hansen, PR 2014, 'Massive Electrical Storm at Disease Onset in a Patient with Brugada Syndrome', Journal of Electrocardiology, bind 15, s. 559-561. https://doi.org/10.12659/AJCR.892314

APA

Pallisgaard, J. L., Gang, U., Kanters, J. K., & Hansen, P. R. (2014). Massive Electrical Storm at Disease Onset in a Patient with Brugada Syndrome. Journal of Electrocardiology, 15, 559-561. https://doi.org/10.12659/AJCR.892314

Vancouver

Pallisgaard JL, Gang U, Kanters JK, Hansen PR. Massive Electrical Storm at Disease Onset in a Patient with Brugada Syndrome. Journal of Electrocardiology. 2014;15:559-561. https://doi.org/10.12659/AJCR.892314

Author

Pallisgaard, Jannik L ; Gang, Uffe ; Kanters, Jørgen K. ; Hansen, Peter R. / Massive Electrical Storm at Disease Onset in a Patient with Brugada Syndrome. I: Journal of Electrocardiology. 2014 ; Bind 15. s. 559-561.

Bibtex

@article{e4c40a9f222e4e9080c4d4ac8da1c105,
title = "Massive Electrical Storm at Disease Onset in a Patient with Brugada Syndrome",
abstract = "Background Brugada syndrome (BrS) is a genetic arrhythmogenic disease characterized by ST-segment elevations in the right precordial leads of the electrocardiogram (ECG). These ECG changes may be concealed and BrS may present with electrical storm characterized by recurrent ventricular tachycardia and fibrillation. Case Report A 49-year-old previously healthy man was admitted with electrical storm. The patient received direct current (DC) cardioversion shocks and only after intravenous lidocaine did the electrical storm slowly subside with a total of 255 DC shocks administered during the first 24 h after admission. He fully recovered and received an implantable cardioverter-defibrillator. Subsequent drug challenge with flecainide revealed type 1 BrS. Conclusions Massive electrical storm can be the first symptom of BrS and the diagnostic ECG changes may be concealed at presentation. Although hundreds of DC shocks may be required during initial treatment, full recovery can be achieved.",
author = "Pallisgaard, {Jannik L} and Uffe Gang and Kanters, {J{\o}rgen K.} and Hansen, {Peter R}",
year = "2014",
doi = "10.12659/AJCR.892314",
language = "English",
volume = "15",
pages = "559--561",
journal = "Journal of Electrocardiology",
issn = "0022-0736",
publisher = "Churchill Livingstone",

}

RIS

TY - JOUR

T1 - Massive Electrical Storm at Disease Onset in a Patient with Brugada Syndrome

AU - Pallisgaard, Jannik L

AU - Gang, Uffe

AU - Kanters, Jørgen K.

AU - Hansen, Peter R

PY - 2014

Y1 - 2014

N2 - Background Brugada syndrome (BrS) is a genetic arrhythmogenic disease characterized by ST-segment elevations in the right precordial leads of the electrocardiogram (ECG). These ECG changes may be concealed and BrS may present with electrical storm characterized by recurrent ventricular tachycardia and fibrillation. Case Report A 49-year-old previously healthy man was admitted with electrical storm. The patient received direct current (DC) cardioversion shocks and only after intravenous lidocaine did the electrical storm slowly subside with a total of 255 DC shocks administered during the first 24 h after admission. He fully recovered and received an implantable cardioverter-defibrillator. Subsequent drug challenge with flecainide revealed type 1 BrS. Conclusions Massive electrical storm can be the first symptom of BrS and the diagnostic ECG changes may be concealed at presentation. Although hundreds of DC shocks may be required during initial treatment, full recovery can be achieved.

AB - Background Brugada syndrome (BrS) is a genetic arrhythmogenic disease characterized by ST-segment elevations in the right precordial leads of the electrocardiogram (ECG). These ECG changes may be concealed and BrS may present with electrical storm characterized by recurrent ventricular tachycardia and fibrillation. Case Report A 49-year-old previously healthy man was admitted with electrical storm. The patient received direct current (DC) cardioversion shocks and only after intravenous lidocaine did the electrical storm slowly subside with a total of 255 DC shocks administered during the first 24 h after admission. He fully recovered and received an implantable cardioverter-defibrillator. Subsequent drug challenge with flecainide revealed type 1 BrS. Conclusions Massive electrical storm can be the first symptom of BrS and the diagnostic ECG changes may be concealed at presentation. Although hundreds of DC shocks may be required during initial treatment, full recovery can be achieved.

U2 - 10.12659/AJCR.892314

DO - 10.12659/AJCR.892314

M3 - Journal article

C2 - 25528772

VL - 15

SP - 559

EP - 561

JO - Journal of Electrocardiology

JF - Journal of Electrocardiology

SN - 0022-0736

ER -

ID: 130557038