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Case Report

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Brugada Syndrome with Aborted Sudden Cardiac Death Related to Liquorice-Induced Hypokalemia

Yorgun H.a · Aksoy H.a · Şendur M.A.b · Ateş A.H.a · Kaya E.B.a · Aytemir K.a · Oto A.a

Author affiliations

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 yorgunhikmet@yahoo.com

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Med Princ Pract 2010;19:485–489

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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.

© 2010 S. Karger AG, Basel

Article / Publication Details

First-Page Preview
Abstract of Case Report

Received: December 15, 2009
Accepted: April 06, 2010
Published online: September 28, 2010
Issue release date: September 2010

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 0

ISSN: 1011-7571 (Print)
eISSN: 1423-0151 (Online)

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