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©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
Brugada electrocardiographic pattern induced by fever
Pablo Lamelas, Cardiology Resident, Instituto Cardiovascular Buenos Aires, Buenos Aires C1428ART, Argentina
Carlos Labadet, Fernando Spernanzoni, Cardiology Division, Centro de Educación Medica e Investigación Clínica, Buenos Aires C1425ASS, Argentina
Cristian Lopez Saubidet, Paulino A Alvarez, Department of Medicine, Centro de Educación Medica e Investigación Clínica, Buenos Aires C1425ASS, Argentina
Author contributions: Lamelas P acquired the patient data and searched the literature; Labadet C made critical revisions to the manuscript; Saubidet CL made critical revisions to the manuscript; Spernanzoni F searched the literature; Alvarez PA conceived the case report, acquired the patient data, searched the literature and drafted the manuscript; all authors read and approved the final manuscript.
Correspondence to: Paulino A Alvarez, MD, Department of Medicine, Centro de Educación Medica e Investigación Clínica, Av. Las Heras 2900, Buenos Aires C1425ASS, Argentina. paulinoalvarez@hotmail.com
Telephone: +54-11-47877500 Fax: +54-11-47877500
Received: November 22, 2011
Revised: December 13, 2011
Accepted: December 20, 2011
Published online: March 26, 2012
Revised: December 13, 2011
Accepted: December 20, 2011
Published online: March 26, 2012
Abstract
Brugada syndrome is a major cause of sudden death in young adults. Fever has been described to induce a Brugada-type electrocardiogram in asymptomatic patients with a negative family history, to disclose Brugada syndrome and to increase the risk of death and induce T wave alternans in patients with diagnosed Brugada syndrome. Risk stratification is challenging and demands a careful evaluation. Here we present 2 case reports and review the literature.
Keywords: Brugada syndrome, Phenotype, Fever, Electrocardiogram