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Brugada pattern in adolescent with acute myocarditis due to SARS‐CoV‐2

Brugada syndrome is a genetic disorder characterized by abnormal findings on electrocardiogram (ECG) that can precipitate ventricular tachyarrhythmias and sudden cardiac death. Most clinical manifestations of Brugada syndrome are related to life‐threatening tachyarrhythmias, such as ventricular fibr...

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Detalles Bibliográficos
Autores principales: Bergamo, David, Nelson, Courtney
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9474391/
https://www.ncbi.nlm.nih.gov/pubmed/36176505
http://dx.doi.org/10.1002/emp2.12810
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author Bergamo, David
Nelson, Courtney
author_facet Bergamo, David
Nelson, Courtney
author_sort Bergamo, David
collection PubMed
description Brugada syndrome is a genetic disorder characterized by abnormal findings on electrocardiogram (ECG) that can precipitate ventricular tachyarrhythmias and sudden cardiac death. Most clinical manifestations of Brugada syndrome are related to life‐threatening tachyarrhythmias, such as ventricular fibrillation or polymorphic ventricular tachycardia, but Brugada syndrome can also present with syncope or less likely palpitations. Our case is of a previously healthy 17‐year‐old visiting from Puerto Rico who presented to the emergency department (ED) with a syncopal episode preceded by sore throat, dizziness, and lightheadedness without palpitations. The ED evaluation found a normal complete blood count and basic metabolic panel. The patient tested positive for COVID‐19 by polymerase chain reaction. An ECG was performed that showed the Brugada pattern, which was later confirmed by cardiology. Although Brugada syndrome and pattern are well known to the medical population, the findings of Brugada pattern in the setting of COVID‐19 is not well described. Recognition and treatment are important, as Brugada syndrome can lead to life‐threatening arrhythmias and sudden cardiac death.
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spelling pubmed-94743912022-09-28 Brugada pattern in adolescent with acute myocarditis due to SARS‐CoV‐2 Bergamo, David Nelson, Courtney J Am Coll Emerg Physicians Open Pediatrics Brugada syndrome is a genetic disorder characterized by abnormal findings on electrocardiogram (ECG) that can precipitate ventricular tachyarrhythmias and sudden cardiac death. Most clinical manifestations of Brugada syndrome are related to life‐threatening tachyarrhythmias, such as ventricular fibrillation or polymorphic ventricular tachycardia, but Brugada syndrome can also present with syncope or less likely palpitations. Our case is of a previously healthy 17‐year‐old visiting from Puerto Rico who presented to the emergency department (ED) with a syncopal episode preceded by sore throat, dizziness, and lightheadedness without palpitations. The ED evaluation found a normal complete blood count and basic metabolic panel. The patient tested positive for COVID‐19 by polymerase chain reaction. An ECG was performed that showed the Brugada pattern, which was later confirmed by cardiology. Although Brugada syndrome and pattern are well known to the medical population, the findings of Brugada pattern in the setting of COVID‐19 is not well described. Recognition and treatment are important, as Brugada syndrome can lead to life‐threatening arrhythmias and sudden cardiac death. John Wiley and Sons Inc. 2022-09-14 /pmc/articles/PMC9474391/ /pubmed/36176505 http://dx.doi.org/10.1002/emp2.12810 Text en © 2022 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Pediatrics
Bergamo, David
Nelson, Courtney
Brugada pattern in adolescent with acute myocarditis due to SARS‐CoV‐2
title Brugada pattern in adolescent with acute myocarditis due to SARS‐CoV‐2
title_full Brugada pattern in adolescent with acute myocarditis due to SARS‐CoV‐2
title_fullStr Brugada pattern in adolescent with acute myocarditis due to SARS‐CoV‐2
title_full_unstemmed Brugada pattern in adolescent with acute myocarditis due to SARS‐CoV‐2
title_short Brugada pattern in adolescent with acute myocarditis due to SARS‐CoV‐2
title_sort brugada pattern in adolescent with acute myocarditis due to sars‐cov‐2
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9474391/
https://www.ncbi.nlm.nih.gov/pubmed/36176505
http://dx.doi.org/10.1002/emp2.12810
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