Key result
A febrile episode unmasked a type 1 Brugada ECG pattern in a 32-year-old male, which completely resolved following aggressive antipyretic treatment.
Why the study?
The degree of risk for malignant arrhythmias in asymptomatic patients diagnosed with Brugada syndrome is unclear, but the potential increases during febrile episodes.
Does aggressive treatment of febrile episodes resolve the Brugada ECG pattern in a patient with fever-induced Brugada syndrome?
Case Report (n=1)
Does aggressive treatment of febrile episodes resolve the Brugada ECG pattern in a patient with fever-induced Brugada syndrome?
Febrile episodes can unmask Brugada syndrome, highlighting the critical importance of aggressive antipyretic treatment to prevent potentially fatal ventricular arrhythmias.
We present a case of Brugada syndrome (BrS) diagnosed in a 32-year-old male during a febrile episode. This syndrome has characteristic ECG findings and predisposes patients to ventricular tachyarrhythmias and sudden cardiac death. We would like to highlight the necessity of aggressively treating febrile episodes in patients with BrS. The degree of risk for malignant arrhythmias in asymptomatic patients diagnosed with BrS is not clear. However, the potential for malignant arrhythmia is still there and increases in the setting of febrile episodes.
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DeBoer et al. (2022) conducted a case report in Brugada syndrome (n=1). Fever vs. Afebrile state was evaluated on Presence of type 1 Brugada pattern on ECG. A febrile episode unmasked a type 1 Brugada ECG pattern in a 32-year-old male, which completely resolved following aggressive antipyretic treatment.
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