Brugada ECG disclosed by acute malaria: is it all about fever and propofol?

Abstract:

:Brugada syndrome is an electrical cardiac disease predisposing to ventricular arrhythmias in which typical electrocardiographic (ECG) features consist of nonischemic repolarization abnormalities in the right precordial leads V1-V3. The appearance of a Brugada-ECG pattern is increasingly observed in critically ill patients and is traditionally attributed to the effect of body temperature and/or drug modulation on cardiac ion channels ("acquired Brugada syndrome"). A patient with complicated malaria in whom Brugada-ECG abnormalities appeared in concomitance with fever and propofol administration is presented. The repolarization changes did not disappear until the patient's clinical course improved.

journal_name

J Clin Anesth

authors

Meggiolaro M,Zorzi A,El Maghawry M,Peruzza F,Migliore F,Pittoni GM

doi

10.1016/j.jclinane.2013.02.012

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

483-7

issue

6

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(13)00199-2

journal_volume

25

pub_type

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