Brugada-type electrocardiographic changes in a febrile patient of african descent.
Brugada syndrome is an arrhythmic syndrome characterized by a pattern of right bundle branch block and an ST-segment elevation in the right precordial leads on the electrocardiogram. This type of electrocardiographic change is predominantly documented in Asian and white persons and almost never present in persons of African ancestry. Despite the well-known risk of sudden death in patients with Brugada syndrome, controversy exists concerning the management of asymptomatic patients with Brugada-type electrocardiographic patterns. The present report describes the case of a patient with a Brugada-type electrocardiographic pattern induced by his febrile condition. A favorable outcome was achieved with a conservative approach.
Suzuki
Takeki
T
Department of Medicine, Cardiology Unit, University of Vermont College of Medicine, Burlington, Vermont.. Electronic address: tsuzuki@physiology.med.uvm.edu.
Kohsaka
Shun
S
Department of Cardiology, Texas Heart Institute at St. Luke's Episcopal Hospital, Baylor College of Medicine, Houston, Texas.
D000038:Abscess / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology*; D001741:Black or African American; D044383:Black People; D002037:Bundle-Branch Block / Q000503:physiopathology; D002177:Candidiasis / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology*; D016757:Death, Sudden, Cardiac; D004562:Electrocardiography; D005334:Fever / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology; D015658:HIV Infections / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology*; D006801:Humans; D008288:Malaria / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D012074:Remission Induction; D013577:Syndrome; D014693:Ventricular Fibrillation / Q000209:etiology / Q000503:physiopathology*