Key result
A 78-year-old woman with Brugada Syndrome exhibited atypical characteristics, including conversion from a type 1 to type 2 ECG pattern after fever alleviation and monomorphic ventricular tachycardia.
Case Report (n=1)
Highlights that Brugada Syndrome can present with atypical characteristics such as late onset in females, monomorphic VT, and non-inducibility on programmed ventricular stimulation.
Alerts clinicians to atypical Brugada in elderly females; case report extends spectrum but leaves risk stratification open.
The Brugada Syndrome (BrS) is a heterogeneous genetic disease characterized by persistent or transient ST-segment elevation in the right precordial electrocardiography (ECG) leads and a high incidence of sudden death and life-threatening ventricular tachyarrhythmias in patients with structurally normal hearts. The syndrome generally manifests in men during adulthood. The ECG manifestations can be overt or concealed. We report a case of BrS whose type 1 ECG pattern during febrile state converted to type 2 ECG after alleviation of fever with atypical characteristics (78-year-old woman with monomorphic ventricular tachycardia on holter monitoring, a history of the sudden infant death of her child, and without inducible ventricular arrhythmia by programed ventricular stimulation [PVS]).
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Arı et al. (2013) conducted a case report in Brugada Syndrome (n=1). A 78-year-old woman with Brugada Syndrome exhibited atypical characteristics, including conversion from a type 1 to type 2 ECG pattern after fever alleviation and monomorphic ventricular tachycardia.
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