Brugada ECG pattern unmasked by IV flecainide in an individual with idiopathic fascicular ventricular tachycardia

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2013

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Gavin, A.
Young, G.
McGavigan, A.

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Indian Pacing and Electrophysiology Journal, 2013; 13(1):52-55

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Andrew R Gavin, Glenn D Young, Andrew D McGavigan

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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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