Therapeutic hypothermia after out-of-hospital cardiac arrest due to Brugada syndrome

Satoshi Kurisu, Ichiro Inoue, Takuji Kawagoe, Masaharu Ishihara, Yuji Shimatani, Yasuharu Nakama, Tatsuya Maruhashi, Eisuke Kagawa, Kazuoki Dai, Toshiyuki Aokage, Junichi Matsushita, Hiroki Ikenaga

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13 Citations (Scopus)

Abstract

A 56-year-old man was admitted to our hospital after successful resuscitation for out-of-hospital cardiac arrest. Electrocardiogram on admission showed right bundle branch block and ST segment elevation in leads V1-3. Subsequent intravenous infusion of isoproterenol rapidly resolved ST segment elevation, suggesting Brugada syndrome. Therapeutic hypothermia, that was performed with a target temperature of 34.0 °C did not induce ST segment elevation in leads V1-3. The J-ST segment elevation rather became much more normal, suggesting a beneficial effect of mild therapeutic hypothermia. Serial ECG showed the temporal variation of ST segment elevation, and pilsicainide challenge test showed the occurrence of ST segment elevation, confirming the diagnosis of Brugada syndrome. Clinical observation suggested that mild therapeutic hypothermia reversed the Brugada phenotype through the prevention of fever as well as being indicated for cerebral protection after cardiac arrest. In conclusion, therapeutic hypothermia with a temperature of 34.0 °C can be used safely in Brugada syndrome.

Original languageEnglish
Pages (from-to)332-335
Number of pages4
JournalResuscitation
Volume79
Issue number2
DOIs
Publication statusPublished - Nov 1 2008
Externally publishedYes

Keywords

  • Cardiac arrest
  • Electrocardiography
  • Hypothermia

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Kurisu, S., Inoue, I., Kawagoe, T., Ishihara, M., Shimatani, Y., Nakama, Y., Maruhashi, T., Kagawa, E., Dai, K., Aokage, T., Matsushita, J., & Ikenaga, H. (2008). Therapeutic hypothermia after out-of-hospital cardiac arrest due to Brugada syndrome. Resuscitation, 79(2), 332-335. https://doi.org/10.1016/j.resuscitation.2008.05.007