ABSTRACT

The Editor,

Sir,

Involvement of implanted electronic cardiac devices by haematogenous seeding of brucellosis is quite rare. To our knowledge nearly 10 cases of pacemaker and implantable cardioverter-defibrillator (ICD) infection and a few cases of transvenous lead endocarditis caused by brucella has been described in the literature .

The Editor,

Sir,

Selected patients with cardio-inhibitory reflex syncope may benefit from cardiac pacemakers, particularly ratedrop response algorithm may reduce syncope episodes.

INTRODUCTION

Arrhythmogenic right ventricular cardiomyopathy is a rare heart-muscle disorder characterized by progressive replacement of right ventricular myocardium by fibrofatty tissue. Noncompaction of the ventricular myocardium is also rare congenital cardiomyopathy, characterized by an arrest in intrauterine endomyocardial morphogenesis. We present an extremely rare patient who presented with incessant ventricular tachycardia and who had both of these two cardiomyopathies at the same time.

The Editor,

Sir,

Amiodarone is a potent antiarrhythmic agent that is used to treat ventricular arrhythmias and atrial fibrillation. Proarrythmias due to amiodarone therapy is rare. We discuss a case who had amiodarone-induced incessant Torsades de Pointes (TdP), that could only be suppressed by lidocaine.

INTRODUCTION