Our hospital handles radioisotopes for isotope inspection. Responses to disasters at facilities that handle radioisotopes differ from normal disaster responses as countermeasures against radioisotopes are needed. In accordance with notices issued by relevant ministries and agencies, a system should be established that enables response, including cooperation, to accidents involving isotope handling facilities. Therefore, it is necessary not only for individual hospitals to respond with disaster prevention measures, but also for a comprehensive system to be established that includes cooperation with local fire departments. Therefore, since 2014, our hospital has been working in collaboration with Konan City Fire Department to ensure that fire extinguishing and rescue activities can be carried out smoothly within the radiation control area in the event of a disaster. We report here our efforts to strengthen cooperation.

This case report describes our first experience performing percutaneous epicardial catheter ablation for Burugada syndrome in our hospital. We describe the good results achieved in this case. The patient was a man in his 30s with no remarkable medical history. However, his family history was notable for the sudden death of his grandfather at age 37 years and his father at age 27 years. While asleep, the patient experienced convulsions and lost consciousness. During emergency transportation, defibrillation was performed 7 times by the ambulance crew. When the patient arrived at our hospital, sinus rhythm was observed on ECG. During resuscitation, Burugada syndrome was diagnosed based on ECG findings. On hospital day 6, an internal cardioverter defibrillator was implanted. After discharge, the defibrillator operated 10 times, so we opted for ablation treatment. Fractionated potential of over 150 ms was confirmed in the right ventricular outflow tract. A low voltage zone of <1 mV could be mapped, and the same site was cauterized a total of 46 times. As a result, ST segment amplitude decreased significantly in lead V1 on ECG. Percutaneous epicardial catheter ablation performed with reference to Nademanee’s report achieved good results in this case of Burugada syndrome.