Fever-Induced ST-Segment Elevation with a Brugada Syndrome–Type Electrocardiogram
Authors: Sumit Kalra, Said B. Iskandar, Sonia Duggal, Roger D. Smalligan
Journal: Annals of Internal Medicine (2008)

Letters1 January 2008Fever-Induced ST-Segment Elevation with a Brugada Syndrome–Type ElectrocardiogramSumit Kalra, MD, Said B. Iskandar, MD, Sonia Duggal, MD, and Roger D. Smalligan, MD, MPHSumit Kalra, MDFrom East Tennessee State University, Johnson City, TN 37615., Said B. Iskandar, MDFrom East Tennessee State University, Johnson City, TN 37615., Sonia Duggal, MDFrom East Tennessee State University, Johnson City, TN 37615., and Roger D. Smalligan, MD, MPHFrom East Tennessee State University, Johnson City, TN 37615.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-148-1-200801010-00016 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: ST-segment elevation in the setting of chest pain is always of immediate concern, even if the presentation is atypical. The Brugada syndrome, which was first described in the 1990s, generally affects young adults and manifests as right bundle-branch block, ST-segment elevation in the precordial leads, and syncopal episodes or sudden death in patients with structurally normal hearts. In some patients, the typical electrocardiography (EKG) findings become evident only in the presence of physiologic stressors.Objective: To describe a case of a patient with a Brugada syndrome–type EKG, which was induced by fever and resolved completely with defervescence.Case Report: ...References1. Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome. A multicenter report. J Am Coll Cardiol. 1992;20:1391-6. [PMID: 1309182] CrossrefMedlineGoogle Scholar2. González Rebollo JM, Hernández Madrid A, García A, García de Castro A, Mejías A, Moro C. [Recurrent ventricular fibrillation during a febrile illness in a patient with the Brugada syndrome]. Rev Esp Cardiol. 2000;53:755-7. [PMID: 10816181] MedlineGoogle Scholar3. Antzelevitch C, Brugada P, Borggrefe M, Brugada J, Brugada R, Corrado D, et al. Brugada syndrome: report of the second consensus conference: endorsed by the Heart Rhythm Society and the European Heart Rhythm Association. Circulation. 2005;111:659-70. [PMID: 15655131] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From East Tennessee State University, Johnson City, TN 37615.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoFever Increases the Risk for Cardiac Arrest in the Brugada Syndrome Ahmad S. Amin , Paola G. Meregalli , Abdennasser Bardai , Arthur A.M. Wilde , and Hanno L. Tan A Brugada-Pattern Electrocardiogram and Adrenal Insufficiency Yasser Khalil , Sultan M. Siddique , and Nghia T. Hoang Metrics Cited ByBrugada Phenocopy: New Terminology and Proposed ClassificationFever-induced ST-segment elevation in a syncopal patient with Brugada syndromeA Brugada-Pattern Electrocardiogram and Adrenal InsufficiencyYasser Khalil, MD, Sultan M. Siddique, MD, and Nghia T. Hoang, DOA 24-year-old Man With Subjective Fever and SyncopeA novel SCN5A mutation V1340I in Brugada syndrome augmenting arrhythmias during febrile illnessTherapeutic hypothermia after out-of-hospital cardiac arrest due to Brugada syndromeFever Increases the Risk for Cardiac Arrest in the Brugada SyndromeAhmad S. Amin, MD, Paola G. Meregalli, MD, Abdennasser Bardai, MD, Arthur A.M. Wilde, MD, PhD, and Hanno L. Tan, MD, PhD 1 January 2008Volume 148, Issue 1Page: 82-84KeywordsArrhythmiaElectrocardiographyElectrophysiological techniquesFeversHeartSudden cardiac deathSyncopeTemperatureThorax ePublished: 1 January 2008 Issue Published: 1 January 2008 CopyrightCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...