Can Hyperthermia Unveil Brugada Pattern?

Overview

Journal J Med Cases

Specialty General Medicine

Date 2024 Jul 12

PMID 38993811

Authors

Poornima Vinod

Hiten Patel

Affiliations

Soon will be listed here.

Abstract

Brugada syndrome (BrS) is characterized by ST segment elevations in the right precordial leads, V1 - V3, with additional findings of ventricular arrhythmias and family history (FH) of sudden cardiac death (SCD) at a young age. Here, we describe a case of hyperthermia, unveiling the Brugada electrocardiography (EKG) pattern and the resolution of EKG findings with appropriate hyperthermia management. It is important to distinguish the Brugada EKG pattern from other causes of ST elevations and treat appropriately to prevent patients from developing ventricular fibrillation and SCD. It is key to identify environmental triggers in patients presenting with Brugada EKG pattern and closely monitor for ventricular fibrillation. Educating patients on prompt fever treatment with antipyretics and avoiding medications like sodium channel blockers during the febrile event is paramount to counter patients going into ventricular fibrillation. It is also crucial for close follow-up of these patients, offering them genetic testing for BrS and screening families of patients with BrS.

Citing Articles

Causal Relationship Between Electrocardiogram Parameters and Brugada Syndrome: A Bidirectional Mendelian Randomization Study.

Shen S, Wang X, Huang J, Li W Ann Noninvasive Electrocardiol. 2025; 30(2):e70060.

PMID: 40070266 PMC: 11897611. DOI: 10.1111/anec.70060.

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