Abstract
Febrile states may unmask certain Brugada syndrome patients and precipitate ventricular arrhythmias. Here we describe two patients with COVID-19 who developed a fever-induced type 1 Brugada electrocardiographic pattern. Both patients did not show any ventricular arrhythmias during admission. These and previously published cases suggest that the threshold to run an ECG should be low in febrile patients with suspected COVID-19, because these patients are potentially at risk for developing proarrhythmic complications.
Highlights
The electrocardiogram (ECG) showed sinus rhythm 88 beats per minute and a Brugada type 1-like ECG pattern in lead V1 (Fig. 1)
A 58-year-old man with a history of atrioventricular nodal re-entry tachycardia treated with catheter ablation, Bell’s palsy and chronic facial pain presented to the emergency department with a 6-day history of fever, cough and shortness of breath
The patient was placed on airborne isolation precautions in a dedicated coronavirus disease-2019 (COVID-19) unit with telemetry monitoring and received antipyretic therapy
Summary
The electrocardiogram (ECG) showed sinus rhythm 88 beats per minute and a Brugada type 1-like ECG pattern in lead V1 (Fig. 1). After six days of admission, the ECG showed sinus rhythm 70 beats per minute with resolution of the Brugada-like ECG pattern (Fig. 2) and the patient was discharged. A febrile state due to COVID-19 may unmask a type 1 Brugada-like electrocardiographic pattern.
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 callMore From: Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation
Disclaimer: 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.
