Document Detail


Brugada syndrome unmasked by fever.
MedLine Citation:
PMID:  21882788     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Brugada syndrome (BS) is a cardiac rhythm disturbance that predisposes patients to sudden cardiac death. Brugada is classically described with specific electrocardiographic (EKG) findings of ST elevation and right bundle branch block in precordial leads and is an often unrecognized contributor to sudden cardiac death. We present a case of BS with cyclic EKG findings in a febrile 20-year-old active duty, Vietnamese male who presented following a witnessed syncopal event. His classic findings of Brugada pattern on EKG demonstrated reversibility with clinical defervescence. In patients with a suggestive history, a normal EKG cannot definitively rule out BS as the Brugada pattern can be unmasked by stress, which in this case was represented by a pneumonia-induced fever.
Authors:
Scott P Grogan; Regino P Cube; John A Edwards
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Military medicine     Volume:  176     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-09-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  946-9     Citation Subset:  IM    
Affiliation:
Department of Family Medicine, Landstuhl Regional Medical Center, CMR 402, P.O. Box 824, APO, AE 09180.
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