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A case of Brugada Syndrome unmasked by a postoperative febrile state
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Jharendra Rijal   , Smith Giri , Sumesh Khanal , Khagendra Dahal |
| Staten Island University Hospital , jrijal.1@gmail.com |
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Abstract: (8323 Views) |
| Abstract
Background: Brugada Syndrome (BS) is an inherited ion channelopathy characterized by an electrocardiographic (ECG) pattern of a coved type ST segment elevation in right precordial leads with or without right bundle branch block.
Case Presentation: A 23-year old male presented with right lower quadrant abdominal pain. Further evaluation revealed a diagnosis of acute appendicitis. The patient developed a febrile episode on second post-operative day of laparoscopic appendectomy. ECG revealed features consistent with BS. Prompt control of temperature in the patient resolved the ST-segment elevation and prevented potentially life-threatening arrhythmias.
Conclusion: Febrile episodes in susceptible patients may unmask a concealed BS. Prompt control of temperature is advocated to reduce the risk of life-threatening arrythmias |
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| Keywords: Arrythmias, Brugada Syndrome, fever, Electrocardiogram, appendectomy. |
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Full-Text [PDF 149 kb]
(2677 Downloads)
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Type of Study: case report |
Subject:
Cardiology
Received: 2014/03/2 | Accepted: 2014/10/11 | Published: 2014/12/15
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