SUDDEN-DEATH DUE TO VENTRICULAR-FIBRILLATION - A CASE OF BRUGADA-SYNDROME

We report a 47 year old mate who was recuperated from a sudden death, and in whom the cardiological assessment showed a right bundle branch block and a fluctuating ST segment elevation from V1 to V3. During the electrophysiological study, a polymorphic tachycardia and a ventricul ar fibrillation were induced. Procainamide administration enhanced ST segment alterations in right precordial leads, and isoproterenol norma lized the EKG. All these disturbances are similar to the condition des cribed by Brugada brothers. The patient was treated with an internal i mplantable defibrillator, without the use of antiarrhythmic drugs and is well after four months of follow up.