Incessant monomorphic ventricular tachycardia during febrile illness in a patient with Brugada syndrome: fatal electrical storm

A 55-year-old male with structurally normal heart presented with sustained monomorphic ventricular tachycardia (VT) and was cardioverted into sinus rhythm revealing a right bundle branch block pattern at baseline electrocardiography. Sustained monomorphic and nonsustained polymorphic VT were reprodu...

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Bibliographic Details
Published in:Europace (London, England) England), 2003-07, Vol.5 (3), p.257-261
Main Authors: Dinckal, M H, Davutoglu, V, Akdemir, I, Soydinc, S, Kirilmaz, A, Aksoy, M
Format: Article
Language:English
Subjects:
Bundle-Branch Block - complications
Bundle-Branch Block - physiopathology
Bundle-Branch Block - therapy
Electrocardiography
Fatal Outcome
Fever - etiology
Fever - physiopathology
Fever - therapy
Humans
Long QT Syndrome - complications
Long QT Syndrome - physiopathology
Long QT Syndrome - therapy
Male
Middle Aged
Syndrome
Tachycardia, Ventricular - complications
Tachycardia, Ventricular - physiopathology
Tachycardia, Ventricular - therapy
Treatment Failure
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Summary:A 55-year-old male with structurally normal heart presented with sustained monomorphic ventricular tachycardia (VT) and was cardioverted into sinus rhythm revealing a right bundle branch block pattern at baseline electrocardiography. Sustained monomorphic and nonsustained polymorphic VT were reproducibly inducible during electrophysiological study. During the diagnostic workup, the patient experienced fever due to hospital based pneumonia, which unmasked typical ST segment changes of Brugada syndrome. In the intensive care unit, fever became intractable leading to incessant monomorphic VT, which was resistant to all medical manoeuvers resulting in the patient's death.
ISSN:1099-5129
DOI:10.1016/S1099-5129(03)00034-5