Korean J Anesthesiol.  2003 Oct;45(4):552-555. 10.4097/kjae.2003.45.4.552.

Anesthetic Management of a Patient with Brugada Syndrome: A case report

• Lee JH
• Park PS
• Baek S
• Kwon YE

• KMID: 2299044
• DOI: http://doi.org/10.4097/kjae.2003.45.4.552

Abstract

Brugada syndrome describes a subgroup of patients at risk of ventricular fibrillation, but with no evidence of an underlying structural heart disease associated with an ECG pattern of right bundle branch block and a ST segment elevation in the right precordial leads (V1 to V3). This syndrome is familial with an autosomal dominant mode of transmission, and may be considerably more common in Southeast Asia. It is associated with a significant risk of ventricular tachyarrhythmias and sudden death, which is not effectively prevented by anti-arrhythmic drug therapy. We experienced such a case under general anesthesia for a hemi-colectomy, in a 32-year-old male patient diagnosed as having Brugada syndrome by characteristic ECG findings without untoward cardiovascular events.

Keyword

Brugada syndrome; sudden death; ventricular fibrillation

MeSH Terms

Adult
Anesthesia, General
Asia, Southeastern
Brugada Syndrome*
Bundle-Branch Block
Death, Sudden
Drug Therapy
Electrocardiography
Heart Diseases
Humans
Male
Tachycardia
Ventricular Fibrillation