ST Elevation in a Patient With COVID-19 Infection-Associated Fever: A Case of Brugada Pattern
Guruprasad Mahadevaiah1, Abdul Aleem2, Antonio Secaira3
1Pediatric Cardiology, California Northstate University College of Medicine, Sacramento, USA.
Insights
This study highlights how fever from Coronavirus disease 2019 (COVID-19) can unmask Brugada pattern, a heart rhythm abnormality. Early recognition is crucial for patient care and healthcare worker safety.
Area of Science:
- Cardiology
- Infectious Diseases
- Clinical Medicine
Background:
- Coronavirus disease 2019 (COVID-19) is a global pandemic with diverse cardiovascular effects.
- Brugada pattern, characterized by ST-segment elevation (STE), is recognized in febrile illnesses.
Observation:
- A patient with COVID-19 infection presented with STE.
- The STE was attributed to a fever-induced unmasking of an underlying Brugada pattern.
Findings:
- Fever associated with COVID-19 can unmask latent Brugada pattern.
- This cardiac manifestation requires careful consideration in clinical management.
Implications:
- Recognizing fever-induced Brugada pattern in COVID-19 patients is critical for appropriate patient management.
- Early identification aids in reducing healthcare professional exposure to infection by guiding conservative treatment strategies.
Abstract:
Coronavirus disease 2019 (COVID-19) is a global pandemic presenting with various cardiovascular manifestations. Although Brugada pattern ST-segment elevation (STE) is well described in patients admitted with febrile illness, the implication of recognizing this abnormality in patients with COVID-19 is critical in providing appropriate care for the patient and also reducing the exposure of healthcare professionals to the risk of infection. We report a patient with COVID-19 infection presenting with STE due to fever-related unmasking of Brugada pattern, who was managed conservatively.
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