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Published on: July 5, 2021
Fever-Induced Brugada Syndrome
Sandhya Manohar1, Binaya Raman Dahal1, Bernard Gitler1
1Montefiore New Rochelle Hospital, New Rochelle, NY, USA.
Brugada syndrome, a cause of sudden cardiac death, can be hidden but is linked to sodium channel issues. Fever can unmask this condition, leading to fatal arrhythmias.
Area of Science:
- Cardiology
- Genetics
- Electrophysiology
Background:
- Brugada syndrome is a significant cause of sudden cardiac death.
- Diagnosis is challenging due to its dynamic and often concealed presentation.
- The electrophysiology is closely associated with sodium channel mutations or disorders.
Purpose of the Study:
- To highlight conditions that can reveal or potentiate Brugada syndrome arrhythmogenicity.
- To present a case where fever unmasked Brugada syndrome.
Main Methods:
- Case report presentation.
- Review of Brugada syndrome pathophysiology and triggers.
Main Results:
- Fever was identified as a precipitating factor for Brugada syndrome manifestation in the presented case.
- The patient's Brugada syndrome became evident under febrile conditions.
Conclusions:
- Clinicians must be aware of fever as a potential trigger for Brugada syndrome.
- Recognizing triggers is crucial for timely diagnosis and management of Brugada syndrome to prevent sudden cardiac death.
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