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Case Reports
. 2022 Jun;25(6):377-380.
doi: 10.1016/j.jccase.2022.01.003. Epub 2022 Jan 19.

Brugada pattern unmasked during COVID-19 infection -:A case report

Carolina Isabel Silva Lemes  1 , Luciana Vidal Armaganijan  1 , André Soares Maria  1 , Guilherme Dagostin de Carvalho  1 , Marcel Pereira Moussa  1 , Olívia Shellard Junqueira Franco  1 , Rodrigo Caligaris Cagi  1 , Cristiano Oliveira Dietrich  1
Affiliations
Case Reports

Brugada pattern unmasked during COVID-19 infection -:A case report

Carolina Isabel Silva Lemes et al. J Cardiol Cases. 2022 Jun.

Abstract

The current pandemic caused by the coronavirus disease 2019 (COVID-19) continues affecting millions of people worldwide. Various cardiovascular manifestations have been associated with COVID-19 but only a few case reports of Brugada syndrome in acute respiratory syndrome by SARS-CoV-2 were published. The diagnosis, prognosis, and treatment remain a challenge and represent a concern in terms of management in this population. We describe a case of a 66-year-old patient with COVID-19 presenting a coved type-1 Brugada pattern in electrocardiogram. Drug challenge was performed for the diagnosis of Brugada syndrome and electrophysiological study for risk stratification. <Learning objective: Brugada pattern can be unmasked during coronavirus disease 2019 (COVID-19) infection, regardless of fever. Supportive care and avoidance of drugs that may induce Brugada pattern and ventricular arrhythmias can prevent clinical complications in Brugada patients with COVID-19. In asymptomatic patients with suspected Brugada syndrome and a family history of sudden cardiac death, the correct diagnosis and risk stratification may be performed.>.

Keywords: Arrhythmia; Brugada syndrome; Coronavirus disease 2019; Severe acute respiratory syndrome coronavirus-2.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

Fig 1
Fig. 1
(A) Type-1 BP on ECG. (B) ECG before admission (C) Type-1 BP on ECG with leads V1-V6 moved up to 2nd, 3rd, and 4th intercostal spaces. (D) BP resolved. Leads V1-V6 are positioned to 2nd, 3rd, and 4th intercostal spaces. (E) ECG at discharge without BP. BP, Brugada pattern; ECG, electrocardiogram.
Fig 2
Fig. 2
(A) On the left, baseline electrocardiogram. On the right, Type-1 Brugada pattern during ajmaline infusion. (B) Electrophysiological study-induced ventricular fibrillation.
See this image and copyright information in PMC

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