Archives of the Turkish Society of Cardiology
Coexistence of Brugada and Wolff Parkinson White syndromes: A case report and review of the literature [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2018; 46(6): 488-493 | DOI: 10.5543/tkda.2018.77834

Coexistence of Brugada and Wolff Parkinson White syndromes: A case report and review of the literature

Gökhan Aksan1, Mehmet Tezcan1, Özgür Çevrim2, Ali Elitok3, Ahmet Kaya Bilge3
1Department of Cardiology, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey
2Department of Emergency Medicine, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey
3Department of Cardiology, İstanbul University İstanbul Faculty of Medicine, İstanbul, Turkey

A 31-year-old male patient presented with complaints of palpitations, dizziness, and recurrent episodes of syncope. A 12-lead electrocardiogram (ECG) revealed manifest ventricular preexcitation, which suggested Wolff Parkinson White syndrome. In addition, an incomplete right bundle branch block and a 3-mm ST segment elevation ending with inverted T-waves in V2 were consistent with coved-type (type 1) Brugada pattern. An electrophysiological study was performed, and during the mapping, the earliest ventricular activation with the shortest A-V interval was found on the mitral annulus posterolateral site. After successful radiofrequency catheter ablation of the accessory pathway, the Brugada pattern on the ECG changed, which prompted an ajmaline provocation test. A type 1 Brugada ECG pattern occurred following the administration of ajmaline. Considering the probable symptom combinations of these 2 coexisting syndromes and the presence of recurrent episodes of syncope, programmed ventricular stimulation was performed and subsequently, ventricular fibrillation was induced. An implantable cardioverter-defibrillator was implanted soon after.

Keywords: Brugada syndrome, syncope; Wolff Parkinson White syndrome.

How to cite this article
Gökhan Aksan, Mehmet Tezcan, Özgür Çevrim, Ali Elitok, Ahmet Kaya Bilge. Coexistence of Brugada and Wolff Parkinson White syndromes: A case report and review of the literature. Turk Kardiyol Dern Ars. 2018; 46(6): 488-493

Corresponding Author: Gökhan Aksan, Türkiye
© Copyright 2018 Archives of the Turkish Society of Cardiology
LookUs & Online Makale