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Fever Unmasked Brugada Syndrome in Pediatric Patient: A Case Report
INTRODUCTION: Brugada syndrome is an arrhythmogenic disorder that is a known cause of sudden cardiac death. It is characterized by a pattern of ST segment elevation in the precordial leads on an electrocardiogram (EKG) due to a sodium channelopathy. CASE REPORT: This case report highlights the case...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220012/ https://www.ncbi.nlm.nih.gov/pubmed/32426684 http://dx.doi.org/10.5811/cpcem.2020.2.44418 |
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author | Mirzapolos, Orhay Marshall, Perry Brill, April |
author_facet | Mirzapolos, Orhay Marshall, Perry Brill, April |
author_sort | Mirzapolos, Orhay |
collection | PubMed |
description | INTRODUCTION: Brugada syndrome is an arrhythmogenic disorder that is a known cause of sudden cardiac death. It is characterized by a pattern of ST segment elevation in the precordial leads on an electrocardiogram (EKG) due to a sodium channelopathy. CASE REPORT: This case report highlights the case of a five-year-old female who presented to the emergency department with a febrile viral illness and had an EKG consistent with Brugada syndrome. DISCUSSION: Fever is known to accentuate or unmask EKG changes associated with Brugada due to temperature sensitivity of the sodium channels. CONCLUSION: Febrile patients with Brugada are at particular risk for fatal ventricular arrhythmias and fevers should be treated aggressively by the emergency medicine provider. Emergency medicine providers should also consider admitting febrile patients with Brugada syndrome who do not have an automatic implantable cardioverter-defibrillator for cardiac monitoring. |
format | Online Article Text |
id | pubmed-7220012 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-72200122020-05-18 Fever Unmasked Brugada Syndrome in Pediatric Patient: A Case Report Mirzapolos, Orhay Marshall, Perry Brill, April Clin Pract Cases Emerg Med ACOEP Case Report INTRODUCTION: Brugada syndrome is an arrhythmogenic disorder that is a known cause of sudden cardiac death. It is characterized by a pattern of ST segment elevation in the precordial leads on an electrocardiogram (EKG) due to a sodium channelopathy. CASE REPORT: This case report highlights the case of a five-year-old female who presented to the emergency department with a febrile viral illness and had an EKG consistent with Brugada syndrome. DISCUSSION: Fever is known to accentuate or unmask EKG changes associated with Brugada due to temperature sensitivity of the sodium channels. CONCLUSION: Febrile patients with Brugada are at particular risk for fatal ventricular arrhythmias and fevers should be treated aggressively by the emergency medicine provider. Emergency medicine providers should also consider admitting febrile patients with Brugada syndrome who do not have an automatic implantable cardioverter-defibrillator for cardiac monitoring. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020-04-23 /pmc/articles/PMC7220012/ /pubmed/32426684 http://dx.doi.org/10.5811/cpcem.2020.2.44418 Text en Copyright: © 2020 Mirzapolos et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | ACOEP Case Report Mirzapolos, Orhay Marshall, Perry Brill, April Fever Unmasked Brugada Syndrome in Pediatric Patient: A Case Report |
title | Fever Unmasked Brugada Syndrome in Pediatric Patient: A Case Report |
title_full | Fever Unmasked Brugada Syndrome in Pediatric Patient: A Case Report |
title_fullStr | Fever Unmasked Brugada Syndrome in Pediatric Patient: A Case Report |
title_full_unstemmed | Fever Unmasked Brugada Syndrome in Pediatric Patient: A Case Report |
title_short | Fever Unmasked Brugada Syndrome in Pediatric Patient: A Case Report |
title_sort | fever unmasked brugada syndrome in pediatric patient: a case report |
topic | ACOEP Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220012/ https://www.ncbi.nlm.nih.gov/pubmed/32426684 http://dx.doi.org/10.5811/cpcem.2020.2.44418 |
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