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Brugada Syndrome with Aborted Sudden Cardiac Death Related to Liquorice-Induced HypokalemiaYorgun H.a · Aksoy H.a · Şendur M.A.b · Ateş A.H.a · Kaya E.B.a · Aytemir K.a · Oto A.a
Departments of aCardiology and bInternal Medicine, Hacettepe University, Ankara, Turkey Corresponding Author
Hikmet Yorgun, MD
Department of Cardiology
Hacettepe University Faculty of Medicine
TR–06100 Sıhhıye, Ankara (Turkey)
Tel. +90 312 305 1780, Fax +90 312 305 4137, E-Mail firstname.lastname@example.org
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.
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