Tag Archives: implantable defibrillator

Introduction Brugada syndrome (BrS) is an inherited cardiac channelopathy predisposing patients to ventricular arrhythmias.1 This case demonstrates the difficulties of managing a BrS storm in a district general hospital (DGH) using current guidelines.1–5 It also highlights both benefits and risks of implantable cardioverter-defibrillator (ICD) implantation in previously asymptomatic patients with BrS.1–3 Case presentation A 61-year-old man presented to a DGH with exertional chest pain associated with diaphoresis without fever. He had a diagnosis of type I BrS (figure 1) with confirmed SCN5A mutation. He had never suffered from syncope, no

Dr Paul Foley Introduction 2018 marks the 60-year anniversary of the first patient to receive an implantable battery-powered pacemaker.1 In fact, the earliest recorded description of pacing was in 1882, and now countless lives have been saved by pacemaker technology. Subsequent important developments include the development of the implantable cardioverter defibrillator (ICD) in 1980 and then, more recently, one of the most effective cardiac treatments, cardiac resynchronisation therapy, which was first described in 1984. Exciting and disruptive developments in pacing technology may, potentially, herald a sea change in practice, while historic