title: Fever-induced type 1 Brugada pattern.
abstract: Brugada syndrome, first described over 20 years ago, is characterized by a typical electrocardiographic pattern with coved-type ST-segment elevation in the right precordial leads and a high risk of sudden death in otherwise healthy young adults. The electrocardiographic pattern is sometimes intermittent, and fever is a possible trigger. The authors present the case of a 68-year-old woman who came to the emergency department with fever and syncope. A diagnosis of community-acquired pneumonia was made. The electrocardiogram performed when the patient had fever revealed a type 1 Brugada pattern, which disappeared after the fever subsided. After other causes of Brugada-like pattern were excluded, Brugada syndrome was diagnosed and a cardioverter-defibrillator was implanted. This case demonstrates that this entity can be diagnosed at more advanced ages and highlights the usefulness of electrocardiography in a febrile state.
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Hospital Geral, Coimbra, Portugal. Electronic address: marta.jesus.madeira@gmail.com.
authors.forename: Marta
authors.initials: M
authors.lastname: Madeira
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Hospital Geral, Coimbra, Portugal.
authors.forename: Francisca
authors.initials: F
authors.lastname: Caetano
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Hospital Geral, Coimbra, Portugal.
authors.forename: Rui
authors.initials: R
authors.lastname: Providência
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Hospital Geral, Coimbra, Portugal.
authors.forename: Inês
authors.initials: I
authors.lastname: Almeida
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Hospital Geral, Coimbra, Portugal.
authors.forename: Joana
authors.initials: J
authors.lastname: Trigo
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Hospital Geral, Coimbra, Portugal.
authors.forename: José
authors.initials: J
authors.lastname: Nascimento
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Hospital Geral, Coimbra, Portugal.
authors.forename: Marco
authors.initials: M
authors.lastname: Costa
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Hospital Geral, Coimbra, Portugal.
authors.forename: António
authors.initials: A
authors.lastname: Leitão Marques
mesh_terms: D000368:Aged; D053840:Brugada Syndrome / Q000209:etiology* / Q000503:physiopathology; D004562:Electrocardiography; D005260:Female; D005334:Fever / Q000150:complications*; D006801:Humans
keywords: Brugada syndrome; Febre; Fever; Syncope; Síncope; Síndrome de Brugada