BRUGADA SYNDROME-A CASE REPORT
Brugada syndrome is a type of arrhythmia disorder, which is characterised by abnormal electrocardiogram (ECG) findings and an increased risk of sudden cardiac death. The most frequent sign is a persistent ST elevation in the electrocardiographic leads V1-V3 with a right bundle branch block (RBBB).We...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Association of medical doctors Sanamed Novi Pazar
2016-03-01
|
| Series: | Sanamed |
| Subjects: | |
| Online Access: | http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/84/44 |
| _version_ | 1827334623545262080 |
|---|---|
| author | Kuževska-Maneva Konstandina Kacarska Rozana Gjurkova-Angelovska Beti Georgiev Antonio |
| author_facet | Kuževska-Maneva Konstandina Kacarska Rozana Gjurkova-Angelovska Beti Georgiev Antonio |
| author_sort | Kuževska-Maneva Konstandina |
| collection | DOAJ |
| description | Brugada syndrome is a type of arrhythmia disorder, which is characterised by abnormal electrocardiogram (ECG) findings and an increased risk of sudden cardiac death. The most frequent sign is a persistent ST elevation in the electrocardiographic leads V1-V3 with a right bundle branch block (RBBB).We present a case of 12 years old healthy child, without any complains until then. He had 2 episodes of collapse/syncope, which lasted long and spontaneously disappeared. The collapses were provoked by physical activity. On ECG we found sinus rhythm 62 bpm, RBBB (right bundle brunch block) and Brugada signs in V2 and V3 channel-ST elevation ≥ 2mm. The child was sent in electrophysiological centre abroad where the electrophysiological study was performed. They did not found any accessory pathway. The atrioventricular (AV) conduction was normal. Long lasting polymorphic ventricular tachycardia/fibrillation was induced with programed stimulation with 3 extrastimuli in right ventricular outflow tract. Performing one defibrillation the rhythm turned in sinus way. Then they performed ECG with translocation of electrodes V1-3 in 2nd intercostal space and the Brugada I type findings was discovered. After confirming of presence of Brugada type -1 syndrome the implantable cardioverter- defibrillator (ICD) was applied on child heart. |
| first_indexed | 2024-03-07T17:59:23Z |
| format | Article |
| id | doaj.art-14f0c098f3b04e798b10adcbc125b07a |
| institution | Directory Open Access Journal |
| issn | 1452-662X 2217-8171 |
| language | English |
| last_indexed | 2024-03-07T17:59:23Z |
| publishDate | 2016-03-01 |
| publisher | Association of medical doctors Sanamed Novi Pazar |
| record_format | Article |
| series | Sanamed |
| spelling | doaj.art-14f0c098f3b04e798b10adcbc125b07a2024-03-02T11:06:18ZengAssociation of medical doctors Sanamed Novi PazarSanamed1452-662X2217-81712016-03-01111535610.5937/sanamed1601053KBRUGADA SYNDROME-A CASE REPORTKuževska-Maneva Konstandina0Kacarska Rozana1Gjurkova-Angelovska Beti2Georgiev Antonio3University children’s hospital - Skopje, Clinical Centre Mother Teresa - Skopje, Medical faculty, Ss. Cyril and Methodius University, Skopje, Republic of MacedoniaUniversity children’s hospital - Skopje, Clinical Centre Mother Teresa - Skopje, Medical faculty, Ss. Cyril and Methodius University, Skopje, Republic of MacedoniaUniversity children’s hospital - Skopje, Clinical Centre Mother Teresa - Skopje, Medical faculty, Ss. Cyril and Methodius University, Skopje, Republic of MacedoniaPHO Cardiology - Prima, MIT University, Skopje, Republic of MacedoniaBrugada syndrome is a type of arrhythmia disorder, which is characterised by abnormal electrocardiogram (ECG) findings and an increased risk of sudden cardiac death. The most frequent sign is a persistent ST elevation in the electrocardiographic leads V1-V3 with a right bundle branch block (RBBB).We present a case of 12 years old healthy child, without any complains until then. He had 2 episodes of collapse/syncope, which lasted long and spontaneously disappeared. The collapses were provoked by physical activity. On ECG we found sinus rhythm 62 bpm, RBBB (right bundle brunch block) and Brugada signs in V2 and V3 channel-ST elevation ≥ 2mm. The child was sent in electrophysiological centre abroad where the electrophysiological study was performed. They did not found any accessory pathway. The atrioventricular (AV) conduction was normal. Long lasting polymorphic ventricular tachycardia/fibrillation was induced with programed stimulation with 3 extrastimuli in right ventricular outflow tract. Performing one defibrillation the rhythm turned in sinus way. Then they performed ECG with translocation of electrodes V1-3 in 2nd intercostal space and the Brugada I type findings was discovered. After confirming of presence of Brugada type -1 syndrome the implantable cardioverter- defibrillator (ICD) was applied on child heart.http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/84/44Brugada syndromeventricular fibrillationsudden cardiac death |
| spellingShingle | Kuževska-Maneva Konstandina Kacarska Rozana Gjurkova-Angelovska Beti Georgiev Antonio BRUGADA SYNDROME-A CASE REPORT Sanamed Brugada syndrome ventricular fibrillation sudden cardiac death |
| title | BRUGADA SYNDROME-A CASE REPORT |
| title_full | BRUGADA SYNDROME-A CASE REPORT |
| title_fullStr | BRUGADA SYNDROME-A CASE REPORT |
| title_full_unstemmed | BRUGADA SYNDROME-A CASE REPORT |
| title_short | BRUGADA SYNDROME-A CASE REPORT |
| title_sort | brugada syndrome a case report |
| topic | Brugada syndrome ventricular fibrillation sudden cardiac death |
| url | http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/84/44 |
| work_keys_str_mv | AT kuzevskamanevakonstandina brugadasyndromeacasereport AT kacarskarozana brugadasyndromeacasereport AT gjurkovaangelovskabeti brugadasyndromeacasereport AT georgievantonio brugadasyndromeacasereport |