title: Brugada syndrome with complete right bundle branch block disclosed by a febrile illness.
abstract: The characteristic of right-bundle branch block (RBBB) pattern in Brugada syndrome (BS) is an atypical pattern without a wide S wave in left leads. We present a case of a patient with BS who had a typical ECG pattern of complete RBBB (CRBBB) with a wide S wave in the left leads which was disclosed by a febrile illness. Our observations suggest that physicians should be careful to evaluate ECG change in response to a febrile state, even if the ECG shows a typical CRBBB pattern with deep and wide S waves in the left leads.
authors.affiliation: Department of Internal Medicine 1, Faculty of Medicine, Oita University, Oita. shinohar@med.oita-u.ac.jp
authors.forename: Tetsuji
authors.initials: T
authors.lastname: Shinohara
authors.forename: Naohiko
authors.initials: N
authors.lastname: Takahashi
authors.forename: Tetsunori
authors.initials: T
authors.lastname: Saikawa
authors.forename: Hironobu
authors.initials: H
authors.lastname: Yoshimatsu
mesh_terms: D053840:Brugada Syndrome / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D002037:Bundle-Branch Block / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D004562:Electrocardiography; D005334:Fever / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D014693:Ventricular Fibrillation / Q000209:etiology