Since the first publication of the Brugada syndrome in 1992 several variants of this ECG pattern have been described. We report a very unusual case of preexcitation with changing electrocardiographic morphologies which appeared to be an association of a variable Brugada pattern with a persistent antegrade preexcitation.
Antzelevitch, C., Brugada, P.,Borggrefe, M., et al. (2005). Brugada syndrome. Report of the second consensus conference. Heart Rhythm, 2(4), 429–440.
Hermida, J. S., Lemoine, J. L., Aoun, F. B., et al. (2000). Prevalence of the Brugada syndrome in an apparently healthy population. American Journal of Cardiology, 86, 91–94.
Sorbo, M. D., Buja, G. F., Miorelli, M., et al. (1995). The prevalence of the Wolff-Parkinson White syndrome in a population of 116542 young males. Giornale Italiano di Cardiologia, 25, 681–687.
Eckardt, L., Kirchhof, P., Johna, R., et al. (2001). Wolff-Parkinson-White syndrome associated with Brugada syndrome. Pacing and Clinical Electrophysiology, 24, 1423–1424.
Bodegas, A. I., Arana, J. I., Vitoria, Y., et al. (2002). Brugada syndrome in a patient with accessory pathway. Europace, 4, 87–89.
Ohkubo, K., Watanabe, I., Okumura, Y., et al. (2004). Wolff-Parkinson-White syndrome concomitant with asymptomatic Brugada syndrome. Pacing and Clinical Electrophysiology, 27, 109–111.
Fragakis, N., Iliadis, I., Papanastasiou, S., et al. (2007). Brugada type electrocardiographic changes induced by concomitant use of litium and propafenone in patient with Wolff-Parkinson-White Syndrome. Pacing and Clinical Electrophysiology, 30, 823–825.
Bibliographic reference
De Roy, Lucas ; Popescu, Elena ; Floria, Mariana ; Blommaert, Dominique ; Deceuninck, Olivier ; et. al. Variable morphologies of preexcitation due to a concomitant Brugada pattern.. In: Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, Vol. 20, no. 1-2, p. 39-41 (2007)