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KMID : 1148020200450010040
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조선대학교의대논문집
2020 Volume.45 No. 1 p.40 ~ p.44
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A case of Brugada syndrome presenting as sudden cardiac death
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Min Sung-Yong
Ahn Ji-Ye
Choi Min-Seon
Lee Jae-Hee
Kim Eun-Young
Yang Eun-Seok
Moon Kyung-Rye
Park Yeong-Bong
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Abstract
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Brugada syndrome is diagnosed in patients with typical ECG findings (coved ST elevation in leads V1-V3) plus at least one additional criterion from: a personal or family history of syncope, ventricular arrhythmias, or similar ECG findings in other family members. It is usually diagnosed in adulthood, and is very rarely diagnosed in children. A 15-year-old boy collapsed and lost consciousness while sitting at school. There was no significant previous history. An ECG showed ventricular fibrillation, which was successfully defibrillated with automated external defibrillator. 24-hour holter monitoring, coronary angiography, and electrophysiology tests did not show any specific findings. The flecainide-induced test showed RBBB with ST elevation in V1 to V2, suggesting Brugada syndrome type 1. He was successfully treated with implantable cardioverter defibrillator and was discharged.
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KEYWORD
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Brugada syndrome, Children, Ventricular fibrillation
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Listed journal information
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