Fever-induced Brugada Syndrome in an elderly: a case report
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The present case has been published in the Indian Journal of Medical Research. An 81 yr old male was referred to the department of Cardiology because of two episodes of syncope over the past week. The patient denied a history of coronary artery disease and family history of structural heart disease or sudden death but reported a previous hospitalization for investigation of fever two years ago, and a routine ECG demonstrated Type 1 Brugada pattern.

The temperature at the time of ECG recording was 101.8 ºF. Repeated ECG after resolution of fever was near normal. The physical examination and the computed tomography of coronary angiogram were unremarkable. The 12-lead ECG at admission revealed a Type 2 Brugada pattern. Programmed electrical stimulation could induce ventricular fibrillation.

The patient was initiated on cilostazol 50 mg twice a day per os administration and received an implantable cardioverter defibrillator (ICD). During the six-month follow up period, ECG was normal, and the patient was uneventful, without recurrence of ventricular tachyarrhythmia at ICD controls.

Source: https://icmr.nic.in/ijmr/2018/April/clinical_image.pdf