Brugada ECG pattern precipitated by acute pneumonia: a case report.

Area of Science:

• Cardiology
• Infectious Diseases
• Electrophysiology

Background:

• Brugada syndrome is a genetic disorder associated with ventricular arrhythmias and sudden cardiac death.
• The Brugada type 1 ECG pattern is a key diagnostic criterion for Brugada syndrome.
• Fever and acute illness can unmask or exacerbate underlying Brugada syndrome.

Purpose of the Study:

• To report a case of acute pneumonia mimicking Brugada syndrome.
• To investigate the transient nature of the Brugada type 1 ECG pattern in this context.
• To review the literature on fever-induced Brugada type 1 ECG patterns.

Main Methods:

• Case presentation of a young male with pneumonia.
• Electrocardiogram (ECG) monitoring during acute illness.
• Follow-up ECG after resolution of pneumonia and antibiotic treatment.

Main Results:

• The patient presented with symptoms of acute pneumonia.
• A routine ECG revealed a Brugada type 1 ECG pattern during pneumonia.
• The Brugada type 1 ECG pattern normalized after successful pneumonia treatment.

Conclusions:

• Acute pneumonia can transiently induce a Brugada type 1 ECG pattern.
• This ECG pattern is reversible and not indicative of underlying Brugada syndrome in this context.
• Physicians should consider reversible causes like infection when encountering a new Brugada type 1 ECG pattern.