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Brugada pattern unmasked during COVID-19 infection -:A case report
Carolina Isabel Silva Lemes1, Luciana Vidal Armaganijan1, André Soares Maria1
1Department of Cardiology, Cardiologist and Clinical Electrophysiologist, Hospital Rede D'or São Luiz, Walter Figueira Cerâmica, São Caetano do Sul, SP 09531-205, Brazil.
Abstract:
The current pandemic caused by the coronavirus disease 2019 (COVID-19) continues affecting millions of people worldwide. Various cardiovascular manifestations have been associated with COVID-19 but only a few case reports of Brugada syndrome in acute respiratory syndrome by SARS-CoV-2 were published. The diagnosis, prognosis, and treatment remain a challenge and represent a concern in terms of management in this population. We describe a case of a 66-year-old patient with COVID-19 presenting a coved type-1 Brugada pattern in electrocardiogram. Drug challenge was performed for the diagnosis of Brugada syndrome and electrophysiological study for risk stratification. <Learning objective: Brugada pattern can be unmasked during coronavirus disease 2019 (COVID-19) infection, regardless of fever. Supportive care and avoidance of drugs that may induce Brugada pattern and ventricular arrhythmias can prevent clinical complications in Brugada patients with COVID-19. In asymptomatic patients with suspected Brugada syndrome and a family history of sudden cardiac death, the correct diagnosis and risk stratification may be performed.>.
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