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Case Reports
. 2010:2010:823490.
doi: 10.1155/2010/823490. Epub 2010 Dec 14.

Sudden cause of cardiac death-be aware of me: a case report and short review on brugada syndrome

Jagadeesh K Kalavakunta  1 , Vishwaroop Bantu, Hemasri Tokala, Mihas Kodenchery
Affiliations
Case Reports

Sudden cause of cardiac death-be aware of me: a case report and short review on brugada syndrome

Jagadeesh K Kalavakunta et al. Case Rep Med. 2010.

Abstract

Introduction. Brugada syndrome accounts for about 4% of sudden cardiac deaths (SCD). It is characterized by an ST-segment elevation in the right precordial electrocardiogram (EKG) leads. Case Presentation. We describe a 39-year-old healthy Caucasian man who was admitted to the intensive care unit after being cardioverted from ventricular fibrillation (VF) arrest. His past history was significant for an episode of syncope one month prior to this presentation for which he was admitted to an outlying hospital. EKG during that admission showed ST elevations in V1 and V2 leads, a pattern similar to Type 1 Brugada. A diagnosis of Brugada syndrome was missed and the patient had a cardiac arrest a month later. We discuss a short review of Brugada syndrome and emphasize the need to look for it in patients presenting with SCD and malignant arrhythmias. Conclusion. Physicians should always consider Brugada syndrome in the differential diagnosis of ST-segment elevation in anterior precordial leads of EKG and associated VT/VF. Although more than 17 years have passed since the first case was reported, increased awareness of this syndrome is needed to identify patients with EKG changes and treat them accordingly to prevent incidence of (SCD) and its deleterious complications.

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Figures

Figure 1
Figure 1
Electrocardiogram showing descendent ST-segment elevation with negative T waves (white arrow heads) in the right precordial leads V1 and V2.
See this image and copyright information in PMC

References

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