Brugada syndrome presenting as atrial flutter with sick sinus syndrome

Abstract

An incidentally diagnosed patient with Brugada syndrome was found to have atrial flutter on baseline electrocardiogram. He was DC (Direct current) cardioverted which revealed sick sinus syndrome. The patient was implanted with VVIR(Ventricular rate modulated pacing) pacemaker. Underlying sinus node dysfunction can be present in cases of Brugada syndrome with atrial flutter. The patient may require pacemaker insertion postcardioversion.

Keywords

• atrial flutter
• brugada syndrome
• sick sinus syndrome