Intermittent Brugada Syndrome Presenting with Syncope in an Adult Female

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ID: 55668
2014
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Abstract
Background. Brugada syndrome accounts for 4–12% of all sudden deaths worldwide and at least 20% of sudden deaths in patients with structurally normal hearts. Case Report. A 48-year-old female presented to the emergency department after two witnessed syncopal episodes. While awaiting discharge had a third collapse followed by cardiac arrest with shockable rhythm. Initial electrocardiogram showed wide QRS complex with left axis deviation, ST-segment elevation of <1 mm in V1 and V2, and flattening of T waves in V1. The angiogram did not demonstrate obstructive coronary disease. The electrocardiogram obtained two days after these events showed a right bundle branch block with ST-segment elevation of >2 mm followed by a negative T wave with no isoelectric separation, suggestive of spontaneous intermittent Brugada type 1 pattern. Cardiac magnetic resonance imaging demonstrated neither structural heart disease nor abnormal myocardium. After placement of an implantable cardioverter defibrillator the patient was discharged. Why should an emergency physician be aware of this? Brugada syndrome is an infrequently encountered clinical entity which may have a fatal outcome. This syndrome primarily presents with syncope. It should be considered as a component of differential diagnosis in patients with family history of syncope and sudden cardiac death.
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chavez2014intermittentcase Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Chavez, Patricia;Bamira, Daniel;Dominguez, Abel Casso;Bhandary, Akshai;Herzog, Eyal;
Journal case reports in emergency medicine
Year 2014
DOI
DOI not found
URL
http://dx.doi.org/10.1155/2014/742076
Keywords
Diseases of the circulatory (Cardiovascular) system Medical emergencies. Critical care. Intensive care. First aid

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