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Brugada syndrome associated with out-of-hospital cardiac arrest: A case report

Guo-Hua Ni1, Hua Jiang2, Li Men3

  • 1Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital (Chengdu Jinjiang Sohome Comprehensive Outpatient Clinic), Chengdu 610072, Sichuan Province, China.

World Journal of Clinical Cases
|July 26, 2021
PubMed

Insights

Brugada syndrome (BrS) is an inherited heart condition that can cause sudden cardiac death. Early recognition of the Brugada ECG pattern is crucial for saving lives.

Area of Science:

  • Cardiology
  • Genetics
  • Electrocardiography

Background:

  • Brugada syndrome (BrS) is an inherited cardiac condition.
  • It is characterized by a specific ECG pattern (coved-type ST-segment elevation in V1-V3).
  • BrS predisposes individuals to sudden cardiac death (SCD) due to ventricular arrhythmias.

Observation:

  • A 29-year-old male experienced out-of-hospital cardiac arrest.
  • His post-resuscitation ECG showed a type 1 Brugada pattern (coved ST elevation in V1-V2).
  • His brother exhibited a type 2 Brugada pattern on ECG.

Findings:

  • The patient was diagnosed with BrS, NYHA Class IV heart failure, multiple organ dysfunction syndrome, sepsis, and hypoxic ischemic encephalopathy.
  • He remained free of arrhythmia episodes during a 36-month follow-up period post-discharge.

Implications:

  • Increased awareness and prompt recognition of the Brugada ECG pattern are vital.
  • Early diagnosis and management of BrS can be lifesaving.
  • This case highlights the importance of ECG interpretation in patients with cardiac arrest.
Abstract

Keywords:
Brugada syndromeCase reportElectrocardiogramFamily historyOut-of-hospital cardiac arrestVentricular fibrillation

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