Tadin David, Quintal Roberto
Louisiana State University Health Services Center, New Orleans, LA.
J La State Med Soc. 2017 Jan-Feb;169(1):11-14. Epub 2017 Feb 15.
The Brugada syndrome is a rare condition associated with increased risk of ventricular tachyarrhythmias and sudden cardiac death (SCD). The Brugada pattern on electrocardiogram (EKG) is known to be revealed by several precipitants including febrile illnesses. The appearance of a Brugada pattern on EKG with fever may indicate an elevated risk of arrhythmia or sudden cardiac death. We report a case in which the electrocardiographic abnormality of Brugada pattern induced by sepsis was initially misinterpreted as a ST-segment elevation myocardial infarction (STEMI). The Brugada pattern on EKG resolved with treatment of the underlying sepsis.
布加综合征是一种罕见疾病，与室性快速心律失常和心源性猝死（SCD）风险增加相关。已知包括发热性疾病在内的多种诱因可使心电图（EKG）显示出布加综合征图形。发热时EKG出现布加综合征图形可能提示心律失常或心源性猝死风险升高。我们报告一例病例，其中由脓毒症诱发的布加综合征图形心电图异常最初被误诊为ST段抬高型心肌梗死（STEMI）。随着潜在脓毒症的治疗，EKG上的布加综合征图形消失。
