Key result
Adrenal crisis can precipitate a type 1 Brugada-like ECG pattern, which improved to a type 2 pattern following steroid supplementation.
Case Report (n=1)
No
Adrenal crisis (and associated fever/electrolyte disturbances) can act as a trigger to unmask a type 1 Brugada ECG pattern, which may resolve upon treatment of the underlying insufficiency.
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Suggests considering adrenal crisis in Brugada-like ECG; single case leaves open generalizability and steroid effect.
Brugada syndrome (BrS) is an inherited channelopathy disease, caused by genetic changes in transmembrane ion channels. It has an increased risk of sudden cardiac death (SCD) in the absence of a structural heart disease. We report a case in which the presenting electrocardiogram (EKG) exhibited a type 1 Brugada-like pattern during an adrenal crisis with transformation into a type 2 Brugada-like pattern as the crisis improved.
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Iorgoveanu et al. (2018) conducted a case report in Brugada pattern and Adrenal Insufficiency (n=1). Adrenal crisis was evaluated. Adrenal crisis can precipitate a type 1 Brugada-like ECG pattern, which improved to a type 2 pattern following steroid supplementation.
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