Tag Archives: polymorphic ventricular tachycardia

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