Published online Jul 6, 2021. doi: 10.12998/wjcc.v9.i19.5345
Peer-review started: March 18, 2021
First decision: April 23, 2021
Revised: May 2, 2021
Accepted: May 19, 2021
Article in press: May 19, 2021
Published online: July 6, 2021
Processing time: 98 Days and 6.2 Hours
Brugada syndrome (BrS) is an inherited disease characterized by an electrocardiogram (ECG) with a coved-type ST-segment elevation in the right precordial leads (V1-V3), which predisposes to sudden cardiac death (SCD) due to polymorphic ventricular tachycardia or ventricular fibrillation in the absence of structural heart disease. We report the case of a 29-year-old man with out-of-hospital cardiac arrest. BrS is associated with a high incidence of SCD in adults, and increasing the awareness of BrS and prompt recognition of the Brugada ECG pattern can be lifesaving.
A 29-year-old man suffered from out-of-hospital cardiac arrest, and after defibrillation, his ECG demonstrated a coved-type elevated ST segment in V1 and V2. These findings were compatible with type 1 Brugada pattern, and ECG of his brother showed a type 2 Brugada pattern. The diagnosis was BrS, NYHF IV, multiple organ dysfunction syndrome, sepsis, and hypoxic ischemic encephalopathy. The patient had no arrhythmia episodes after discharge throughout a follow-up period of 36 mo.
Increasing awareness of BrS and prompt recognition of the Brugada ECG pattern can be lifesaving.
Core Tip: We describe a patient with a family history of Brugada syndrome. The electrocardiograms (ECGs) of the patient and his brother showed the typical type 1 and type 2 Brugada ECG pattern, and the patient had various ECG changes in the same lead during treatment and follow-up. This case illustrates the importance of recognizing the Brugada ECG pattern and differential diagnosis for young adults associated with out-of-hospital cardiac arrest, and prompt recognition can be lifesaving.