[SCD-FORUM] 68E RE: Brugada's pattern detection in a son of SCD's patient. Dr. Haghjoo

[SCD Symposium]

Dear Dr. Cagnolatti,

In a patient with typical Brugada type ECG, there is no need for  
performing
pharmacological challenge test. According to clinical data provided,  
there
are no signs of brugada syndrome in
patient's father (negative family history). Therefore, it is better  
to risk
stratify patient by EPS.

Majid Haghjoo,MD
Department of Pacemaker and Electrophysiology
Rajaie Cardiovascular Medical and Research Center
Tehran, Iran

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee


>
> 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>
>

-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://www.grupoakros.com.ar/pipermail/scd-forum/attachments/20061020/b70fac6c/attachment.html