Fall Meeting Recap: Resident Poster Award – 2nd Place

By Courtney Brooks, MD
Virginia Commonwealth University Health Systems

9 – Management of Depression in a Patient with Brugada Syndrome: A Case Report
Courtney Brooks, MD; Sherin Moideen, MD

I had the opportunity to present a case report at the Fall meeting. I discussed the case of a female patient with a history of treatment-refractory depression who experienced a syncopal episode while on a supratherapeutic dose of nortriptyline.

Workup confirmed a diagnosis of Brugada syndrome, which is a cardiac condition that results in an increased risk for ventricular arrythmias and sudden cardiac death. Many commonly prescribed psychotropic medications have been found to induce electrocardiographic abnormalities and sometimes fatal arrythmias in patients with Brugada syndrome. Once Brugada syndrome was confirmed in our patient, she underwent TMS treatments and was later started on Mirtazapine along with close collaboration with our cardiology colleagues.

Treatment options are limited in patients with comorbid psychiatric illness and Brugada syndrome. This case illustrates TMS may be a beneficial nonpharmacologic treatment option for these patients. Also, mirtazapine appears to be safe pharmacologic option, though information is limited.

Future studies can increase data on safe pharmacologic treatment options for patients with comorbid Brugada syndrome and psychiatric illness.

Share this content on social media!
Share on facebook
Share on twitter
Share on linkedin



PSV 2022 Spring Meeting
Integrative Psychiatry:
Putting it Into Practice
February 25-26, 2022
The Westin Richmond

APA Find a Psychiatrist

Are you accepting new patients?

Opt into APA’s Find A Psychiatrist database. To view the functionality or opt-in,

FYI: A link for this option has been added to the PSV websiteSelect the About button and then Find a Psychiatrist from the drop down.

Letters to the editor and editorial contributions are welcome. Submissions may be sent to Andrew Mann at [email protected]. Paid advertising is accepted on a first come, first served basis. Discounted advertising rates are available to PSV members. To place your advertisement or to request a rate sheet, contact Ray Hall at PSV Headquarters via email at [email protected] or by phone at (804) 565-6313.

© Psychiatric Society of Virginia
2209 Dickens Road | Richmond, VA 23230-2005 | Phone: (804) 565-6377 | Fax: (804) 282-0090 | Email: [email protected] |