Brugada Syndrome with Aborted Sudden Cardiac Death Related to Liquorice-Induced Hypokalemia
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Tarih
2010Yazar
Yorgun, Hikmet
Aksoy, Hakan
Sendur, Mehmet Ali
Ates, Ahmet Hakan
Kaya, Ergun Baris
Aytemir, Kudret
Oto, Ali
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Objective: 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. Conclusion: 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. Copyright (C) 2010 S. Karger AG, Basel