Ozben Beste, Caymaz Oğuz, Erdoğan Okan
Department of Cardiology, Medicine Faculty of Marmara University, Istanbul, Turkey.
Turk Kardiyol Dern Ars. 2010 Jan;38(1):35-7.
Brugada syndrome is a rare condition characterized by ST-segment elevation in the right precordial leads. Fever can induce Brugada-like electrocardiographic (ECG) changes. We reported on a 26-year-old male patient with fever and ST-segment elevation in the right precordial leads. Serial cardiac markers were normal and transthoracic echocardiography showed normal wall motion and no evidence for pericardial effusion. Brugada-like ECG changes disappeared after fever resolved. Since the patient had never experienced any arrhythmic symptom, syncope, or spontaneous type 1 ECG, electrophysiological study was not performed and he was not referred for defibrillator implantation. The patient was discharged with strong recommendations to avoid certain medications responsible for Brugada-like ECG changes and to receive urgent treatment for fever. He was asymptomatic during a year follow-up. Emphasis is placed on this particularly rare, but important condition, as it may easily be misdiagnosed and fever may even precipitate ventricular fibrillation.
布加综合征是一种罕见疾病，其特征为右胸前导联ST段抬高。发热可诱发类似布加综合征的心电图（ECG）改变。我们报告了一名26岁男性患者，其有发热且右胸前导联ST段抬高。系列心脏标志物正常，经胸超声心动图显示室壁运动正常且无心包积液证据。发热消退后，类似布加综合征的ECG改变消失。由于该患者从未经历过任何心律失常症状、晕厥或自发性1型ECG，未进行电生理检查，也未建议其植入除颤器。患者出院时被强烈建议避免使用某些可导致类似布加综合征ECG改变的药物，并在发热时接受紧急治疗。在一年的随访中他无症状。重点关注这种特别罕见但重要的疾病，因为它可能很容易被误诊，发热甚至可能促发心室颤动。
