A Concealed Brugada Electrocardiogram Pattern Revealed after Administering Propafenone to a Patient with Atrial Fibrillation.
- Author:
Hyoung Hun SIM
1
;
Nak Hyun KWON
;
Joo Yeong BAEG
;
Chang Yong YUN
;
Soo Min AHN
;
Yu Mi OH
;
Young Jung KIM
Author Information
- Publication Type:Case Report
- Keywords: Brugada syndrome; Atrial fibrillation; Propafenone
- MeSH: Adult; Atrial Fibrillation*; Brugada Syndrome; Death, Sudden, Cardiac; Electrocardiography*; Emergency Service, Hospital; Heart Diseases; Humans; Male; Propafenone*; Syncope; Tachycardia
- From:Korean Journal of Medicine 2014;86(1):70-73
- CountryRepublic of Korea
- Language:Korean
- Abstract: Brugada syndrome is characterized by sudden cardiac death associated with ventricular tachyarrhythmia in patients without structural heart disease. We recently observed a case of concealed Brugada ECG pattern, which appeared after oral propafenone administration for atrial fibrillation. A 34-year-old male patient who experienced syncope was admitted to the emergency department with acute atrial fibrillation (AF). Three hundred milligrams of propafenone that were administered to convert AF to sinus rhythm unmasked the Brugada ECG pattern that had remained concealed. The patient showed a type 1 Brugada ECG pattern after taking propafenone.
