Sudden Cause of Cardiac Death—Be Aware of Me: A Case Report and Short Review on Brugada Syndrome

Introduction. Brugada syndrome accounts for about 4% of sudden cardiac deaths (SCD). It is characterized by an ST-segment elevation in the right precordial electrocardiogram (EKG) leads. Case Presentation. We describe a 39-year-old healthy Caucasian man who was admitted to the intensive care unit a...

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Main Authors: Jagadeesh K. Kalavakunta, Vishwaroop Bantu, Hemasri Tokala, Mihas Kodenchery
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/823490
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author Jagadeesh K. Kalavakunta
Vishwaroop Bantu
Hemasri Tokala
Mihas Kodenchery
author_facet Jagadeesh K. Kalavakunta
Vishwaroop Bantu
Hemasri Tokala
Mihas Kodenchery
author_sort Jagadeesh K. Kalavakunta
collection DOAJ
description Introduction. Brugada syndrome accounts for about 4% of sudden cardiac deaths (SCD). It is characterized by an ST-segment elevation in the right precordial electrocardiogram (EKG) leads. Case Presentation. We describe a 39-year-old healthy Caucasian man who was admitted to the intensive care unit after being cardioverted from ventricular fibrillation (VF) arrest. His past history was significant for an episode of syncope one month prior to this presentation for which he was admitted to an outlying hospital. EKG during that admission showed ST elevations in V1 and V2 leads, a pattern similar to Type 1 Brugada. A diagnosis of Brugada syndrome was missed and the patient had a cardiac arrest a month later. We discuss a short review of Brugada syndrome and emphasize the need to look for it in patients presenting with SCD and malignant arrhythmias. Conclusion. Physicians should always consider Brugada syndrome in the differential diagnosis of ST-segment elevation in anterior precordial leads of EKG and associated VT/VF. Although more than 17 years have passed since the first case was reported, increased awareness of this syndrome is needed to identify patients with EKG changes and treat them accordingly to prevent incidence of (SCD) and its deleterious complications.
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spelling doaj-art-2677b75d6b8d4f2c94261f07f913dc4c2025-08-20T03:54:48ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/823490823490Sudden Cause of Cardiac Death—Be Aware of Me: A Case Report and Short Review on Brugada SyndromeJagadeesh K. Kalavakunta0Vishwaroop Bantu1Hemasri Tokala2Mihas Kodenchery3Kalamazoo Center for Medical Studies, Michigan State University, Kalamazoo, MI 49008, USAKalamazoo Center for Medical Studies, Michigan State University, Kalamazoo, MI 49008, USAMichigan State University, East Lansing, MI 48824, USAKalamazoo Center for Medical Studies, Michigan State University, Kalamazoo, MI 49008, USAIntroduction. Brugada syndrome accounts for about 4% of sudden cardiac deaths (SCD). It is characterized by an ST-segment elevation in the right precordial electrocardiogram (EKG) leads. Case Presentation. We describe a 39-year-old healthy Caucasian man who was admitted to the intensive care unit after being cardioverted from ventricular fibrillation (VF) arrest. His past history was significant for an episode of syncope one month prior to this presentation for which he was admitted to an outlying hospital. EKG during that admission showed ST elevations in V1 and V2 leads, a pattern similar to Type 1 Brugada. A diagnosis of Brugada syndrome was missed and the patient had a cardiac arrest a month later. We discuss a short review of Brugada syndrome and emphasize the need to look for it in patients presenting with SCD and malignant arrhythmias. Conclusion. Physicians should always consider Brugada syndrome in the differential diagnosis of ST-segment elevation in anterior precordial leads of EKG and associated VT/VF. Although more than 17 years have passed since the first case was reported, increased awareness of this syndrome is needed to identify patients with EKG changes and treat them accordingly to prevent incidence of (SCD) and its deleterious complications.http://dx.doi.org/10.1155/2010/823490
spellingShingle Jagadeesh K. Kalavakunta
Vishwaroop Bantu
Hemasri Tokala
Mihas Kodenchery
Sudden Cause of Cardiac Death—Be Aware of Me: A Case Report and Short Review on Brugada Syndrome
Case Reports in Medicine
title Sudden Cause of Cardiac Death—Be Aware of Me: A Case Report and Short Review on Brugada Syndrome
title_full Sudden Cause of Cardiac Death—Be Aware of Me: A Case Report and Short Review on Brugada Syndrome
title_fullStr Sudden Cause of Cardiac Death—Be Aware of Me: A Case Report and Short Review on Brugada Syndrome
title_full_unstemmed Sudden Cause of Cardiac Death—Be Aware of Me: A Case Report and Short Review on Brugada Syndrome
title_short Sudden Cause of Cardiac Death—Be Aware of Me: A Case Report and Short Review on Brugada Syndrome
title_sort sudden cause of cardiac death be aware of me a case report and short review on brugada syndrome
url http://dx.doi.org/10.1155/2010/823490
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