Brugada ECG disclosed by acute malaria: is it all about fever and propofol?
Marco Meggiolaro1, Alessandro Zorzi, Mohamed El Maghawry
1Division of Anesthesiology and Intensive Care, University Hospital of Padova, 31100 Padua, Italy.
Abstract:
Brugada syndrome is an electrical cardiac disease predisposing to ventricular arrhythmias in which typical electrocardiographic (ECG) features consist of nonischemic repolarization abnormalities in the right precordial leads V1-V3. The appearance of a Brugada-ECG pattern is increasingly observed in critically ill patients and is traditionally attributed to the effect of body temperature and/or drug modulation on cardiac ion channels ("acquired Brugada syndrome"). A patient with complicated malaria in whom Brugada-ECG abnormalities appeared in concomitance with fever and propofol administration is presented. The repolarization changes did not disappear until the patient's clinical course improved.
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