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Brugada syndrome with complete right bundle branch block disclosed by a febrile illness
Tetsuji Shinohara1, Naohiko Takahashi, Tetsunori Saikawa
1Department of Internal Medicine 1, Faculty of Medicine, Oita University, Oita. shinohar@med.oita-u.ac.jp
Abstract:
The characteristic of right-bundle branch block (RBBB) pattern in Brugada syndrome (BS) is an atypical pattern without a wide S wave in left leads. We present a case of a patient with BS who had a typical ECG pattern of complete RBBB (CRBBB) with a wide S wave in the left leads which was disclosed by a febrile illness. Our observations suggest that physicians should be careful to evaluate ECG change in response to a febrile state, even if the ECG shows a typical CRBBB pattern with deep and wide S waves in the left leads.
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