Coexistence of Brugada and Wolff Parkinson White syndromes: A case report and review of the literature
A 31-year-old male patient presented with complaints of palpitations, dizziness, and recurrent episodes of syncope. A 12-lead electrocardiogram (ECG) revealed manifest ventricular preexcitation, which suggested Wolff Parkinson White syndrome. In addition, an incomplete right bundle branch block and...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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KARE Publishing
2018-09-01
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| Series: | Türk Kardiyoloji Derneği Arşivi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-77834 |
| _version_ | 1797907031590436864 |
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| author | Gökhan Aksan Mehmet Tezcan Özgür Çevrim Ali Elitok Ahmet Kaya Bilge |
| author_facet | Gökhan Aksan Mehmet Tezcan Özgür Çevrim Ali Elitok Ahmet Kaya Bilge |
| author_sort | Gökhan Aksan |
| collection | DOAJ |
| description | A 31-year-old male patient presented with complaints of palpitations, dizziness, and recurrent episodes of syncope. A 12-lead electrocardiogram (ECG) revealed manifest ventricular preexcitation, which suggested Wolff Parkinson White syndrome. In addition, an incomplete right bundle branch block and a 3-mm ST segment elevation ending with inverted T-waves in V2 were consistent with coved-type (type 1) Brugada pattern. An electrophysiological study was performed, and during the mapping, the earliest ventricular activation with the shortest A-V interval was found on the mitral annulus posterolateral site. After successful radiofrequency catheter ablation of the accessory pathway, the Brugada pattern on the ECG changed, which prompted an ajmaline provocation test. A type 1 Brugada ECG pattern occurred following the administration of ajmaline. Considering the probable symptom combinations of these 2 coexisting syndromes and the presence of recurrent episodes of syncope, programmed ventricular stimulation was performed and subsequently, ventricular fibrillation was induced. An implantable cardioverter-defibrillator was implanted soon after. |
| first_indexed | 2024-04-10T10:30:12Z |
| format | Article |
| id | doaj.art-b06a3a09e21d46a78df57756dd8b3592 |
| institution | Directory Open Access Journal |
| issn | 1016-5169 |
| language | English |
| last_indexed | 2024-04-10T10:30:12Z |
| publishDate | 2018-09-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Türk Kardiyoloji Derneği Arşivi |
| spelling | doaj.art-b06a3a09e21d46a78df57756dd8b35922023-02-15T16:21:10ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692018-09-0146648849310.5543/tkda.2018.77834TKDA-77834Coexistence of Brugada and Wolff Parkinson White syndromes: A case report and review of the literatureGökhan Aksan0Mehmet Tezcan1Özgür Çevrim2Ali Elitok3Ahmet Kaya Bilge4Department of Cardiology, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, TurkeyDepartment of Cardiology, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, TurkeyDepartment of Emergency Medicine, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, TurkeyDepartment of Cardiology, İstanbul University İstanbul Faculty of Medicine, İstanbul, TurkeyDepartment of Cardiology, İstanbul University İstanbul Faculty of Medicine, İstanbul, TurkeyA 31-year-old male patient presented with complaints of palpitations, dizziness, and recurrent episodes of syncope. A 12-lead electrocardiogram (ECG) revealed manifest ventricular preexcitation, which suggested Wolff Parkinson White syndrome. In addition, an incomplete right bundle branch block and a 3-mm ST segment elevation ending with inverted T-waves in V2 were consistent with coved-type (type 1) Brugada pattern. An electrophysiological study was performed, and during the mapping, the earliest ventricular activation with the shortest A-V interval was found on the mitral annulus posterolateral site. After successful radiofrequency catheter ablation of the accessory pathway, the Brugada pattern on the ECG changed, which prompted an ajmaline provocation test. A type 1 Brugada ECG pattern occurred following the administration of ajmaline. Considering the probable symptom combinations of these 2 coexisting syndromes and the presence of recurrent episodes of syncope, programmed ventricular stimulation was performed and subsequently, ventricular fibrillation was induced. An implantable cardioverter-defibrillator was implanted soon after.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-77834brugada syndromesyncope; wolff parkinson white syndrome. |
| spellingShingle | Gökhan Aksan Mehmet Tezcan Özgür Çevrim Ali Elitok Ahmet Kaya Bilge Coexistence of Brugada and Wolff Parkinson White syndromes: A case report and review of the literature Türk Kardiyoloji Derneği Arşivi brugada syndrome syncope; wolff parkinson white syndrome. |
| title | Coexistence of Brugada and Wolff Parkinson White syndromes: A case report and review of the literature |
| title_full | Coexistence of Brugada and Wolff Parkinson White syndromes: A case report and review of the literature |
| title_fullStr | Coexistence of Brugada and Wolff Parkinson White syndromes: A case report and review of the literature |
| title_full_unstemmed | Coexistence of Brugada and Wolff Parkinson White syndromes: A case report and review of the literature |
| title_short | Coexistence of Brugada and Wolff Parkinson White syndromes: A case report and review of the literature |
| title_sort | coexistence of brugada and wolff parkinson white syndromes a case report and review of the literature |
| topic | brugada syndrome syncope; wolff parkinson white syndrome. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-77834 |
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