Abstract
Brugada syndrome (BrS) is an inherited channelopathy disease, caused by genetic changes in transmembrane ion channels. It has an increased risk of sudden cardiac death (SCD) in the absence of a structural heart disease. We report a case in which the presenting electrocardiogram (EKG) exhibited a type 1 Brugada-like pattern during an adrenal crisis with transformation into a type 2 Brugada-like pattern as the crisis improved.
Highlights
Brugada syndrome (BrS) is an inherited disease characterized by a coved-type ST-segment elevation in the right precordial leads (V1–V3) and an increased risk of sudden cardiac death (SCD) in the absence of a structural heart disease [1]
We report a case of an under-estimated precipitant for Brugada pattern: adrenal crisis
adrenal insufficiency (AI) can be associated with fever, which acts as a trigger, uncovering the underlying BrS
Summary
Corina Iorgoveanu 1 , Ahmed Zaghloul 1 , Aakash Desai 1 , Kathir Balakumaran 2 , Muhammad Y. 1. Internal Medicine, University of Connecticut Health Center, Farmington, USA 2. Cardiology, University of Connecticut Health Center, Farmington, USA 3.
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