Vagally mediated ventricular arrhythmia in Brugada syndrome

Abstract

We present a case of ventricular arrhythmia induced by a premature ventricular beat with a short coupling interval in a young patient with Brugada syndrome, vasodepressive response to tilt test, and a structurally normal heart. A clear vagal trigger appeared in all ventricular arrhythmia events. The patient was implanted with an implantable cardioverter-defibrillator (ICD).