Document Detail


Fever-induced precordial ST-segment elevation in a young man.
MedLine Citation:
PMID:  20215841     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Brugada syndrome is a rare condition characterized by ST-segment elevation in the right precordial leads. Fever can induce Brugada-like electrocardiographic (ECG) changes. We reported on a 26-year-old male patient with fever and ST-segment elevation in the right precordial leads. Serial cardiac markers were normal and transthoracic echocardiography showed normal wall motion and no evidence for pericardial effusion. Brugada-like ECG changes disappeared after fever resolved. Since the patient had never experienced any arrhythmic symptom, syncope, or spontaneous type 1 ECG, electrophysiological study was not performed and he was not referred for defibrillator implantation. The patient was discharged with strong recommendations to avoid certain medications responsible for Brugada-like ECG changes and to receive urgent treatment for fever. He was asymptomatic during a year follow-up. Emphasis is placed on this particularly rare, but important condition, as it may easily be misdiagnosed and fever may even precipitate ventricular fibrillation.
Authors:
Beste Ozben; O?uz Caymaz; Okan Erdo?an
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  T?rk Kardiyoloji Derne?i ar?ivi : T?rk Kardiyoloji Derne?inin yay?n organ?d?r     Volume:  38     ISSN:  1016-5169     ISO Abbreviation:  Turk Kardiyol Dern Ars     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-03-10     Completed Date:  2010-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9426239     Medline TA:  Turk Kardiyol Dern Ars     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  35-7     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Medicine Faculty of Marmara University, Istanbul, Turkey. besteozben@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Brugada Syndrome / physiopathology*,  ultrasonography
Echocardiography, Transesophageal
Electrocardiography
Fever / complications,  physiopathology
Humans
Male
Treatment Outcome

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