Brugada type 1 electrocardiogram unmasked by a febrile state following syncope.
Brugada syndrome is a genetic disease characterized by persistent or transient ST elevation in the right precordial electrocardiogram (ECG) leads with or without right bundle branch block. It represents an increased risk for sudden cardiac death despite a structurally normal heart. Brugada-type ECG can be unmasked and induced by several circumstances. We report on a 24-year-old male patient who experienced a syncopal episode and manifested Brugada type 1 ECG during a febrile state. His ECG changed to normal after treatment of fever. A single-chamber ICD was implanted to the patient because of syncope, fever-induced type I Brugada ECG pattern, and ventricular fibrillation during ajmaline challenge.
Department of Cardiology, Medicine Faculty of İstanbul University, İstanbul, Turkey. yalinkivanc@gmail.com
Kivanç
K
Yalin
Ebru
E
Gölcük
Ahmet Kaya
AK
Bilge
Kamil
K
Adalet
D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000517:prevention & control; D053840:Brugada Syndrome / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D016757:Death, Sudden, Cardiac / Q000209:etiology / Q000517:prevention & control*; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D005334:Fever / Q000150:complications*; D006801:Humans; D008297:Male; D012307:Risk Factors; D013575:Syncope / Q000150:complications*; D055815:Young Adult