Brugada syndrome during physical therapy: a case report
Jan Paul M Frölke1, Almar Wa Bruggeman, Frank Paj Klomp
1Dept, of Surgery 690, University Hospital Nijmegen, P,O, Box 9101, 6500 HB, Nijmegen, The Netherlands. j.frolke@chir.umcn.nl.
Cases Journal
|August 20, 2008
Summary
A young male with syncope during physical therapy for complex regional pain syndrome type 1 was diagnosed with Brugada syndrome. A defibrillator implant allowed safe continuation of physical therapy, highlighting a potential link between hyperthermia and dysrhythmia.
Area of Science:
- Cardiology
- Neurology
- Physical Medicine & Rehabilitation
Background:
- Complex regional pain syndrome type 1 (CRPS1) can present with varied symptoms.
- Syncope during physical therapy is a concerning event requiring thorough investigation.
- Brugada syndrome is a genetic disorder affecting the heart's electrical activity.
Purpose of the Study:
- To report a case of syncope in a patient undergoing physical therapy for CRPS1.
- To investigate the underlying cause of syncope.
- To determine the safety of continuing physical therapy after diagnosis and treatment.
Main Methods:
- Case report presentation.
- Diagnostic workup including electrocardiogram (ECG) and electrophysiological studies.
- Prophylactic implantation of a cardioverter-defibrillator.
Main Results:
- Brugada syndrome was diagnosed as the cause of syncope.
- Successful prophylactic implantation of a cardioverter-defibrillator.
- Patient was cleared to resume physical therapy without contraindications.
Conclusions:
- Brugada syndrome can manifest with syncope during physical exertion.
- Cardioverter-defibrillator implantation effectively managed the cardiac risk.
- While no direct causal link was established, hyperthermia during physical therapy is a potential trigger for dysrhythmias in susceptible individuals.
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