Abstract
Brugada type 1 ECG pattern is the hallmark for the diagnosis of Brugada syndrome which is a cause of sudden death due to ventricular arrhythmias. We present a case of a previously healthy young man who was admitted with productive cough with greenish phlegm and right-sided chest pain which was subsequently diagnosed as acute pneumonia. A routine ECG was done as part of his evaluation and showed Brugada ECG type 1 pattern. He was treated with antibiotics and on follow up his ECG was normal. In this report we present this increasingly described phenomenon and briefly review the literature.
Highlights
Brugada type 1 ECG pattern is the hallmark for the diagnosis of Brugada Syndrome which causes sudden cardiac arrest
It is a distinctive pattern of pseudo RBBB, and persistent ST elevation in V1 to V3
Hyperkalemia, hypokalemia, hypercalcemia, cocaine and alcohol. This case represents the second report in the literature of acute pneumonia precipitating Brugada ECG pattern [1]
Summary
Brugada type 1 ECG pattern is the hallmark for the diagnosis of Brugada Syndrome which causes sudden cardiac arrest It is a distinctive pattern of pseudo RBBB, and persistent ST elevation in V1 to V3. A 49-year-old Male presented to our institution with 4days history of productive cough with greenish phlegm, right-sided chest pain worse on inspiration, fever and sweats. On physical examination, he was febrile with a temperature of 102°F, heart rate of 92, Blood pressure of 143/88. Echocardiogram revealed a structurally normal heart with a normal ejection fraction, with no evidence of pericardial effusion He had no rise in cardiac enzymes. Given his history the patient was considered low risk for an arrhythmic event and electrophysiological studies (EPS) were not pursued, he continues to follow up in the outpatient clinic
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
