Brugada ECG Pattern Unmasked by IV Flecainide in an Individual with Idiopathic Fascicular Ventricular Tachycardia |
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| Authors: | Andrew R Gavin Glenn D Young Andrew D McGavigan |
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| Institution: | 1Department of Cardiovascular Medicine, Flinders Medical Centre;2Department of Medicine, University of Adelaide;3Faculty of Medicine, Flinders University of South Australia |
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| Abstract: | A 45-year old man presents with stable monomorphic ventricular tachycardia. He had previously been diagnosed with idiopathic fascicular ventricular tachycardia. Intravenous flecainide results in termination of his tachycardia but unmasks a latent type 1 Brugada ECG pattern not seen on his resting ECG. We discuss his subsequent management and the need to consider an alternative diagnosis in individuals with a Brugada type ECG pattern who present with stable monomorphic ventricular tachycardia. |
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| Keywords: | monomorphic ventricular tachycardia Brugada fascicular idiopathic |
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