[SCD-FORUM] 61S Brugada's pattern detection in a son of SCD's patient. Dr. Cagnalotti

[SCD Symposium]

Dear Sergio,
About a case of reanimation of sudden death in a 54-year-old patient,  
with no structural heart disease, with all the studies made: coronary  
angiography, MNR, Holter, EPS.
Everything appears to be normal. Monomorphic arrhythmic storm is  
detected at the moment the patient is admitted. The patient is  
provided life support and he recovers in 24 hs. ICD implantation is  
decided. After three months he displays three shocks by arrhythmic  
storm, incessant ventricular tachycardia. Mapping and focus ablation  
is decided, in outflow tract with mismatch.
To this moment, the patient has not displayed any event. It's been  
three months, and in a Holter register in one of his sons, typical  
Brugada pattern is observed. The patient is 17 years old,  
asymptomatic. I cannot perform pharmacological test. What should I do  
next?

Dr. Cagnolatti  <drcagnolattia at hotmail.com>

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee




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