PDF(Pubmed)
Abstract：
Brugada syndrome (BrS) is characterized by ST segment elevations in the right precordial leads, V1 - V3, with additional findings of ventricular arrhythmias and family history (FH) of sudden cardiac death (SCD) at a young age. Here, we describe a case of hyperthermia, unveiling the Brugada electrocardiography (EKG) pattern and the resolution of EKG findings with appropriate hyperthermia management. It is important to distinguish the Brugada EKG pattern from other causes of ST elevations and treat appropriately to prevent patients from developing ventricular fibrillation and SCD. It is key to identify environmental triggers in patients presenting with Brugada EKG pattern and closely monitor for ventricular fibrillation. Educating patients on prompt fever treatment with antipyretics and avoiding medications like sodium channel blockers during the febrile event is paramount to counter patients going into ventricular fibrillation. It is also crucial for close follow-up of these patients, offering them genetic testing for BrS and screening families of patients with BrS.
摘要：
Brugada综合征（BrS）的特征是右心前导联ST段抬高，V1-V3，并在年轻时发现室性心律失常和心源性猝死（SCD）的家族史（FH）。这里,我们描述了一个高热的案例，通过适当的热疗管理，揭示Brugada心电图（EKG）模式和EKG结果的分辨率。重要的是将BrugadaEKG模式与ST段抬高的其他原因区分开来，并进行适当的治疗以防止患者发生心室纤颤和SCD。识别具有BrugadaEKG模式的患者的环境触发因素并密切监测心室纤颤是关键。在发热事件期间，对患者进行及时的退烧药治疗以及避免使用钠通道阻滞剂等药物，对于对抗发生室颤的患者至关重要。这对这些患者的密切随访也至关重要，为他们提供BrS的基因检测和BrS患者的家庭筛查。
