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Herzschrittmacherther Elektrophysiol. 2013 Dec;24(4):275-9. doi: 10.1007/s00399-013-0292-4. Epub 2013 Oct 24.

Remote monitoring of a high-risk patient with Brugada syndrome: association of different arrhythmic manifestations.

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  • 1Department of Electrophysiology, Heart Center, University of Leipzig, StrĂĽmpellstr. 39, 04289, Leipzig, Germany, s.richter@med.uni-leipzig.de.

Abstract

We report on the remote arrhythmia monitoring of a 34-year-old man with highly symptomatic Brugada syndrome, who initially presented with syncope, paroxysmal atrial fibrillation, and spontaneous coved-type electrocardiogram. The patient received a dual-chamber implantable cardioverter-defibrillator (ICD) with Home Monitoring™ facilities and experienced recurrent ICD shocks for spontaneous ventricular fibrillation (VF) episodes during the first year after ICD implantation. Remote monitoring revealed an increased burden of premature ventricular complexes and atrial arrhythmias each time VF spontaneously occurred. Atrial and ventricular arrhythmias were effectively suppressed by low-dose quinidine without severe side effects.

PMID:
24154928
[PubMed - indexed for MEDLINE]
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