Rezkalla Abraam, Rajab Islam, Milhem Fathi, Hattab Moath, Shamoon Yezin, Shamoon Fayez
St. Joseph's University Medical Center, Department of Internal Medicine, Paterson, NJ 07470, United States.
Department of Medicine, An Najah National University, Nablus, Palestine.
Oxf Med Case Reports. 2025 May 28;2025(5):omaf036. doi: 10.1093/omcr/omaf036. eCollection 2025 May.
Brugada Syndrome is a potentially fatal, hereditary cardiac disorder that may precipitate sudden cardiac death if not identified. An electrocardiogram (ECG) revealing a characteristic coved ST segment elevation followed by negative T wave in a right-sided precordial lead is pathognomonic for the Brugada pattern. Recently it has been shown that certain abnormalities, such as an electrolyte disturbance, may precipitate a Brugada pattern on ECG. Once the precipitating factor is treated, the rhythm reverts to baseline, coining the term Brugada Phenocopy. Here we present a captivating case of a 40-year-old female who was found unresponsive and determined to have a Brugada pattern on ECG secondary to hyperkalemia. Once appropriately treated, ECG reverts to normal baseline.
Brugada综合征是一种具有潜在致命性的遗传性心脏疾病，如果未被识别，可能会引发心源性猝死。心电图（ECG）显示右侧胸前导联出现特征性的穹窿样ST段抬高并伴有T波倒置，这是Brugada波型的特征性表现。最近有研究表明，某些异常情况，如电解质紊乱，可能会在心电图上诱发Brugada波型。一旦诱发因素得到治疗，心律就会恢复到基线水平，由此产生了“Brugada拟表型”这一术语。在此，我们呈现一例引人关注的病例，一名40岁女性被发现无反应，经检查因高钾血症导致心电图出现Brugada波型。经过适当治疗后，心电图恢复到正常基线水平。
