Syncope due to Brugada syndrome in a young athlete.
A 30-year-old male athlete with exercise-related syncopal symptoms spontaneously exhibited a type 1 Brugada ECG and was inducible during electrophysiology study. He was diagnosed with symptomatic Brugada syndrome and deemed at high risk of sudden cardiac death. Thus, he received a cardioverter/defibrillator and was advised to abstain from further competitive sports activities. This case points to a role of the ECG in pre-participation screening. It also demonstrates that, in athletes with Brugada syndrome, repolarisation anomalies may be markedly attenuated during vigorous exercise and considerably increased immediately after exercise. The observed J-wave amplitude dynamics suggests enhancement of pre-existing autonomic dysfunction through heavy exertion.
Esperer
Hans D
HD
Medical Department, Otto von Guericke University, Magdeburg 39130, Germany. esperer@medizin.uni-magdeburg.de
Hoos
Olaf
O
Hottenrott
Kuno
K
D000328:Adult; D053840:Brugada Syndrome / Q000150:complications / Q000628:therapy*; D016757:Death, Sudden, Cardiac / Q000517:prevention & control*; D017147:Defibrillators, Implantable; D006801:Humans; D008297:Male; D013177:Sports; D013575:Syncope / Q000209:etiology*