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Fever Unmasking the Brugada Syndrome
Author(s) -
PORRES JOSÉ MANUEL,
BRUGADA JOSEP,
URBISTONDO VICENTE,
GARCÍA FRANCISCO,
REVIEJO KARLOS,
MARCO PILAR
Publication year - 2002
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1046/j.1460-9592.2002.01646.x
Subject(s) - medicine , brugada syndrome , procainamide , cardiology , ventricular tachycardia , bundle branch block , right bundle branch block , tachycardia , electrocardiography , anesthesia
PORRES, J.M., et al. : Fever Unmasking the Brugada Syndrome. This case report describes a 66‐year‐old woman with severe polymorphic ventricular tachycardia and syncope during a febrile state. The electrocardiogram revealed a right bundle branch block and pattern of elevated ST segment in the anterior and inferior leads similar to the Brugada syndrome. These electrocardiographic anomalies disappeared when the temperature returned to normal. The administration of procainamide reproduced the electrocardiographic changes. An electrophysiological study using two extrastimuli induced ventricular tachycardia. An automatic defibrillator was implanted.