PMID- 26510553 OWN - NLM STAT- MEDLINE DCOM- 20170418 LR - 20181113 IS - 1615-2573 (Electronic) IS - 0910-8327 (Linking) VI - 31 IP - 8 DP - 2016 Aug TI - Right coronary cusp as a new window of ablation for pilsicainide-induced ventricular premature contractions in a patient with Brugada syndrome. PG - 1397-401 LID - 10.1007/s00380-015-0760-3 [doi] AB - A previous study demonstrated that ventricular premature contractions (VPCs) and ventricular fibrillation (VF) are provoked during sodium channel blocker challenge tests in Brugada syndrome (BrS) patients (Morita et al., J Am Coll Cardiol 42:1624-1631, 2003). The right ventricular outflow tract (RVOT) is a major arrhythmogenic focus and isolated VPCs originating from that area have been shown to initiate VF (Kakishita et al., J Am Coll Cardiol 36:1646-1653, 2000). Here, we describe a case report of a BrS patient with VPCs arising from the posterior aspect of the RVOT epicardium which was provoked by a low-dose of pilsicainide, a pure sodium channel blocker, and was successfully ablated from the right coronary cusp. FAU - Yamasaki, Hiro AU - Yamasaki H AD - Cardiovascular Division, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan. hyamasaki@mail.goo.ne.jp. FAU - Tada, Hiroshi AU - Tada H AD - Department of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Yoshida-gun, Fukui, Japan. FAU - Sekiguchi, Yukio AU - Sekiguchi Y AD - Cardiovascular Division, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan. FAU - Aonuma, Kazutaka AU - Aonuma K AD - Cardiovascular Division, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20151028 PL - Japan TA - Heart Vessels JT - Heart and vessels JID - 8511258 RN - 0 (Sodium Channel Blockers) RN - 98PI200987 (Lidocaine) RN - AV0X7V6CSE (pilsicainide) SB - IM MH - Adult MH - Brugada Syndrome/*drug therapy MH - Electrocardiography MH - Electrophysiologic Techniques, Cardiac MH - Heart Ventricles/*drug effects MH - Humans MH - Lidocaine/adverse effects/*analogs & derivatives MH - Male MH - Pericardium/physiopathology MH - Sodium Channel Blockers/*adverse effects MH - Ventricular Premature Complexes/chemically induced/*diagnosis/surgery OTO - NOTNLM OT - Brugada syndrome OT - Ventricular premature contractions EDAT- 2015/10/30 06:00 MHDA- 2017/04/19 06:00 CRDT- 2015/10/30 06:00 PHST- 2014/09/03 00:00 [received] PHST- 2015/10/02 00:00 [accepted] PHST- 2015/10/30 06:00 [entrez] PHST- 2015/10/30 06:00 [pubmed] PHST- 2017/04/19 06:00 [medline] AID - 10.1007/s00380-015-0760-3 [pii] AID - 10.1007/s00380-015-0760-3 [doi] PST - ppublish SO - Heart Vessels. 2016 Aug;31(8):1397-401. doi: 10.1007/s00380-015-0760-3. Epub 2015 Oct 28.