Key result
Fever and infections, particularly pneumonia, are the most common triggers unmasking the Brugada pattern, which can present even at an extreme old age and often resolves with treatment.
Case Report (n=65)
Brugada pattern can be unmasked by fever and infection even at extreme old age, and typically resolves with treatment of the underlying trigger.
Clinicians may consider Brugada in elderly patients with fever-related ECG changes; this case leaves open prevalence and screening needs.
A prominent coved or saddle-shaped ST-segment elevation followed by T wave changes in V1-V3 and in the absence of other identifiable cause is termed as Brugada pattern. This pattern in the presence of documented ventricular arrhythmias or its symptoms (syncope, seizure) or significant family for sudden cardiac death or abovementioned ECG changes is called Brugada syndrome. Here we present a comprehensive literature review on the precipitation factors of Brugada syndrome/pattern by various stimuli, its presentation, associations, management and outcomes. We are also presenting a unique case of Brugada pattern where the patient's Brugada pattern was unmasked at an extreme old age by infection.
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Abbas et al. (2019) conducted a case report in Brugada pattern (n=65). Fever and infections, particularly pneumonia, are the most common triggers unmasking the Brugada pattern, which can present even at an extreme old age and often resolves with treatment.
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