Fever and Hyponatremia Unmasking Brugada Pattern Electrocardiogram in a Patient With SARS-CoV-2 Infection.
brugada syndrome
covid-19
electrocardiogram
fever
hyponatremia
sars-cov-2
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
accepted:
07
10
2021
entrez:
11
11
2021
pubmed:
12
11
2021
medline:
12
11
2021
Statut:
epublish
Résumé
Brugada syndrome is an autosomal dominant genetic disorder that primarily affects myocardial sodium channels and has been associated with an increased risk of ventricular tachyarrhythmias and sudden cardiac death. Here, we report a case of a 58-year-old Hispanic male with a history significant for prior pulmonary tuberculosis infection who presented with pleuritic left-sided chest pain associated with body aches, productive cough, fevers, and chills and was found to be positive for SARS-CoV-2 by real-time reverse-transcription-polymerase chain reaction (rRT-PCR). Electrocardiogram (ECG, EKG) on presentation demonstrated a coved ST-segment elevation in V1-V2, suggesting Brugada pattern type 1 without evidence of ischemic changes. EKG changes normalized once fever and hyponatremia improved.
Identifiants
pubmed: 34760421
doi: 10.7759/cureus.18578
pmc: PMC8572016
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e18578Informations de copyright
Copyright © 2021, Ayad et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Am J Case Rep. 2018 Nov 03;19:1311-1316
pubmed: 30389905
J Saudi Heart Assoc. 2016 Oct;28(4):274-7
pubmed: 27688678
Ann Intern Med. 2008 Aug 5;149(3):216-8
pubmed: 18678856
Eur Heart J Case Rep. 2020 Jul 30;4(FI1):1-2
pubmed: 33089051
Rev Port Cardiol. 2017 Dec;36(12):945-956
pubmed: 29233646
Heart Rhythm. 2013 Sep;10(9):1375-82
pubmed: 23872691
Neth Heart J. 2020 Jul;28(7-8):431-436
pubmed: 32643073
JACC Case Rep. 2020 Jul 15;2(9):1245-1249
pubmed: 32309815
Pacing Clin Electrophysiol. 2010 Apr;33(4):e39-42
pubmed: 19821933
Ann Noninvasive Electrocardiol. 2016 Jul;21(4):429-32
pubmed: 26910573
J Am Coll Cardiol. 2018 Aug 28;72(9):1046-1059
pubmed: 30139433
J Cardiovasc Electrophysiol. 2020 May;31(5):1003-1008
pubmed: 32270559
Arch Cardiovasc Dis. 2017 Mar;110(3):188-195
pubmed: 28139454
J Investig Med High Impact Case Rep. 2015 Mar 23;3(1):2324709615577414
pubmed: 26425637
Methodist Debakey Cardiovasc J. 2014 Jan-Mar;10(1):25-8
pubmed: 24932359
CMAJ. 2011 Mar 22;183(5):582
pubmed: 21220437
Int Med Case Rep J. 2019 Feb 27;12:61-65
pubmed: 30881148