Fever unmasking the Brugada syndrome

被引:86
作者
Porres, JM
Brugada, J
Urbistondo, V
García, F
Reviejo, K
Marco, P
机构
[1] Hosp Donostia, Dept Intens Care, Arrhythmia Unit, San Sebastian 20014, Spain
[2] Univ Barcelona, Hosp Clin, Cardiovasc Inst, Barcelona, Spain
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2002年 / 25卷 / 11期
关键词
Brugada syndrome; automatic defibrillator; fever;
D O I
10.1046/j.1460-9592.2002.01646.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This case report describes a 66-year-old woman with severe polymorphic ventricular tachycardia and syncope during a febrile state. The electrocardiogram revealed a right bundle branch block and pattern of elevated ST segment in the anterior and inferior leads similar to the Brugada syndrome. These electrocardiographic anomalies disappeared when the temperature returned to normal. The administration of procainamide reproduced the electrocardiographic changes. An electrophysiological study using two extrastimuli induced ventricular tachycardia. An automatic defibrillator was implanted.
引用
收藏
页码:1646 / 1648
页数:3
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