Manohar Sandhya, Dahal Binaya Raman, Gitler Bernard
Montefiore New Rochelle Hospital, New Rochelle, NY, USA.
J Investig Med High Impact Case Rep. 2015 Mar 23;3(1):2324709615577414. doi: 10.1177/2324709615577414. eCollection 2015 Jan-Mar.
Brugada syndrome is increasingly recognized as a cause of sudden cardiac death. Many of these patients do not get diagnosed due its dynamic and often hidden nature. We have come a long way in understanding the disease process, and its electrophysiology appears to be intimately linked with sodium channel mutations or disorders. The cardiac rhythm in these patients can deteriorate into fatal ventricular arrhythmias. This makes it important for the clinician to be aware of the conditions in which arrhythmogenicity of Brugada syndrome is revealed or even potentiated. We present such an instance where our patient's Brugada syndrome was unmasked by fever.
布加综合征越来越被认为是心源性猝死的一个原因。由于其动态性且常常隐匿的特性，许多此类患者未得到诊断。在理解该疾病过程方面我们已经取得了长足进展，并且其电生理学似乎与钠通道突变或紊乱密切相关。这些患者的心律可恶化为致命性室性心律失常。这使得临床医生了解揭示甚至增强布加综合征致心律失常性的情况变得很重要。我们呈现这样一个病例，即我们的患者因发热而暴露了布加综合征。
