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Intermittent Brugada Syndrome Presenting with Syncope in an Adult Female
Joint Authors
Chavez, Patricia
Bamira, Daniel
Casso Dominguez, Abel
Bhandary, Akshai
Herzog, Eyal
Source
Case Reports in Emergency Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-10-13
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Brugada syndrome accounts for 4–12% of all sudden deaths worldwide and at least 20% of sudden deaths in patients with structurally normal hearts.
Case Report.
A 48-year-old female presented to the emergency department after two witnessed syncopal episodes.
While awaiting discharge had a third collapse followed by cardiac arrest with shockable rhythm.
Initial electrocardiogram showed wide QRS complex with left axis deviation, ST-segment elevation of <1 mm in V1 and V2, and flattening of T waves in V1.
The angiogram did not demonstrate obstructive coronary disease.
The electrocardiogram obtained two days after these events showed a right bundle branch block with ST-segment elevation of >2 mm followed by a negative T wave with no isoelectric separation, suggestive of spontaneous intermittent Brugada type 1 pattern.
Cardiac magnetic resonance imaging demonstrated neither structural heart disease nor abnormal myocardium.
After placement of an implantable cardioverter defibrillator the patient was discharged.
Why should an emergency physician be aware of this? Brugada syndrome is an infrequently encountered clinical entity which may have a fatal outcome.
This syndrome primarily presents with syncope.
It should be considered as a component of differential diagnosis in patients with family history of syncope and sudden cardiac death.
American Psychological Association (APA)
Chavez, Patricia& Bamira, Daniel& Casso Dominguez, Abel& Bhandary, Akshai& Herzog, Eyal. 2014. Intermittent Brugada Syndrome Presenting with Syncope in an Adult Female. Case Reports in Emergency Medicine،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017027
Modern Language Association (MLA)
Chavez, Patricia…[et al.]. Intermittent Brugada Syndrome Presenting with Syncope in an Adult Female. Case Reports in Emergency Medicine No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-1017027
American Medical Association (AMA)
Chavez, Patricia& Bamira, Daniel& Casso Dominguez, Abel& Bhandary, Akshai& Herzog, Eyal. Intermittent Brugada Syndrome Presenting with Syncope in an Adult Female. Case Reports in Emergency Medicine. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017027
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017027