ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
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Fever-induced precordial ST-segment elevation in a young man [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2010; 38(1): 35-37

Fever-induced precordial ST-segment elevation in a young man

Beste Ozben, Oguz Caymaz, Okan Erdogan
Marmara University Faculty of Medicine, Department of Cardiology, Istanbul, Turkey

Brugada syndrome is a rare condition characterized by ST-segment elevation in the right precordial leads. Fever can induce Brugada-like electrocardiographic (ECG) changes. We reported on a 26-year-old male patient with fever and ST-segment elevation in the right precordial leads. Serial cardiac markers were normal and transthoracic echocardiography showed normal wall motion and no evidence for pericardial effusion. Brugada-like ECG changes disappeared after fever resolved. Since the patient had never experienced any arrhythmic symptom, syncope, or spontaneous type 1 ECG, electrophysiological study was not performed and he was not referred for defibrillator implantation. The patient was discharged with strong recommendations to avoid certain medications responsible for Brugada-like ECG changes and to receive urgent treatment for fever. He was asymptomatic during a year follow-up. Emphasis is placed on this particularly rare, but important condition, as it may easily be misdiagnosed and fever may even precipitate ventricular fibrillation.

Keywords: Brugada syndrome, electrocardiography, fever/complications

How to cite this article
Beste Ozben, Oguz Caymaz, Okan Erdogan. Fever-induced precordial ST-segment elevation in a young man. Turk Kardiyol Dern Ars. 2010; 38(1): 35-37

Corresponding Author: Beste Ozben, Türkiye
Manuscript Language: English


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Journal Citation Indicator: 0.18
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