Unmasking Brugada Syndrome with Oral Flecainide Provocation. A Case Series of Three Patients

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dc.contributor.authorSingla, R.en_US
dc.contributor.authorUdyavar, A.en_US
dc.contributor.authorGupta, A.en_US
dc.contributor.authorBade, A.en_US
dc.contributor.authorMunde, K.en_US
dc.contributor.authorBansal, N. O.en_US
dc.date.accessioned2019-12-06T09:42:23Z
dc.date.available2019-12-06T09:42:23Z
dc.date.issued2019-07
dc.description.abstractThe present case series discuss three patients who had brugada type 2/ type 3 like ECG pattern that was converted to type 1 pattern with oral flecanide challenge test. Brugada syndrome is associated with a high incidence of sudden cardiac death, typical ECG pattern being ST-segment elevation in the right precordial leads with T wave inversion. Pharmacological provocation should only be performed when the baseline ECG is not diagnostic of Brugada Syndrome. PR prolongation in the baseline ECG is also a contraindication because of the risk of inducing AV block. Drug challenge is performed under strict monitoring of BP and 12-lead ECG and facilities for cardio version and resuscitation are available. Atypical RBBB pattern/type 2/3 Brugada pattern on ECG in patients of syncope or family history of sudden cardiac arrest is commonly encountered by a cardiologist. This can be performed to provoke type 1 brugada pattern on ECG. Diagnosed cases of Brugada may be treated with ICD with proper indication if needed and thus prevent sudden cardiac death.en_US
dc.identifier.affiliationsDepartment of Cardiology, Grant Medical College and JJ Hospital, Mumbai, India.en_US
dc.identifier.affiliationsDepartment of Cardiology, Grant Medical College and JJ Hospital, Mumbai, India and P. D. Hinduja National Hospital, Mumbai, India.en_US
dc.identifier.affiliationsDepartment of Cardiology, Grant Medical College and JJ Hospital, Mumbai, India.en_US
dc.identifier.affiliationsDepartment of Cardiology, Grant Medical College and JJ Hospital, Mumbai, India.en_US
dc.identifier.affiliationsDepartment of Cardiology, Grant Medical College and JJ Hospital, Mumbai, India.en_US
dc.identifier.affiliationsDepartment of Cardiology, Grant Medical College and JJ Hospital, Mumbai, India.en_US
dc.identifier.citationSingla R., Udyavar A., Gupta A., Bade A., Munde K., Bansal N. O.. Unmasking Brugada Syndrome with Oral Flecainide Provocation. A Case Series of Three Patients. Cardiology and Angiology: An International Journal. 2019 Jul; 8(4): 1-6en_US
dc.identifier.issn2347-520X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/188696
dc.languageenen_US
dc.publisherScience Domain Internationalen_US
dc.relation.issuenumber4en_US
dc.relation.volume8en_US
dc.source.urihttps://doi.org/10.9734/ca/2019/v8i430108en_US
dc.subjectBrugada syndromeen_US
dc.subjectAV blocken_US
dc.subjectoral flecanideen_US
dc.subjectcoronary angiographyen_US
dc.titleUnmasking Brugada Syndrome with Oral Flecainide Provocation. A Case Series of Three Patientsen_US
dc.typeJournal Articleen_US
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