Brugada syndrome with aborted sudden cardiac death related to liquorice-induced hypokalemia
Medical Principles and Practice. 2010; 19 (6): 485-489
in English
| IMEMR
| ID: emr-139532
ABSTRACT
It was the aim of this study to report an aborted cardiac arrest due to ventricular fibrillation and electrocardiographic changes consistent with Brugada syndrome due to liquorice-induced hypokalemia. Clinical Presentation and Intervention Ventricular fibrillation was witnessed in a 50-year-old woman who was admitted to our emergency department with a history of liquorice ingestion, a herbal product. After stopping liquorice ingestion, the Brugada-like electrocardiographic pattern changed progressively with potassium replacement. A diagnosis of Brugada syndrome was made after the ajmaline challenge test. The patient was discharged with an implantable cardioverter defibrillator and had an uneventfull follow-up. This report illustrates the importance of the investigation for herbal medications in the detailed history of a patient in the cases of electrolyte disturbances and the potential role of hypokalemia in the induction of malignant arrhythmia in Brugada syndrome
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Index:
IMEMR (Eastern Mediterranean)
Type of study:
Case report
Language:
English
Journal:
Med. Princ. Pract.
Year:
2010
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