Case Report

Volume: 4 | Issue: 12 | Published: Jan 01, 1970 | Pages: 428 - 431 | DOI: 10.24911/ejmcr/173-1588814039

Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report


Authors: Priyanka Parajuli , Mukul Bhattarai , Odalys Estefania Lara-Garcia , Manjari Rani Regmi , Ruby Maini , Alarmelu Sambandam , Abhishek Kulkarni


Article Info

Authors

Priyanka Parajuli

Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA

Mukul Bhattarai

Division of Cardiology, Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA

Odalys Estefania Lara-Garcia

Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA

Manjari Rani Regmi

Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA

Ruby Maini

Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA

Alarmelu Sambandam

Division of Cardiology, Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA

Abhishek Kulkarni

Division of Cardiology, Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA

Publication History

Received: May 07, 2020

Revised: September 19, 2020

Accepted: September 24, 2020

Published: January 01, 1970


Abstract


Background: Brugada syndrome (BrS) is a rare form of channelopathy caused by mutation of SCN5A gene that encodes for sodium channel and is associated with increased risk of ventricular arrhythmia and sudden cardiac death. BrS has a characteristic electrocardiographic (ECG) pattern. Various stressors can induce Brugada-like pattern on ECG in the absence of BrS known as Brugada phenotype. Case Presentation: We report a case of a 28-year-old African-American male patient who presented to the emergency department with a chief complaint of atypical chest pain. He was noted to have an elevated blood pressure and a type 1 Brugada pattern on his 12-lead ECG. His ECG changed from type 1 to type 3 Brugada pattern upon controlling blood pressure, which indicated the presence of a Brugada phenocopy. Conclusion: It is important to recognize the underlying stressors that can lead to Brugada-like patterns on the ECG since these stressors are treatable without any sequel.

Keywords: Brugada syndrome, uncontrolled hypertension, Brugada ECG pattern, transient Brugada, green


Pubmed Style

Priyanka Parajuli, Mukul Bhattarai, Odalys Estefania Lara-Garcia, Manjari Rani Regmi, Ruby Maini, Alarmelu Sambandam, Abhishek Kulkarni. Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report. EJMCR. 1970; 01 (January 1970): 428-431. doi:10.24911/ejmcr/173-1588814039

Web Style

Priyanka Parajuli, Mukul Bhattarai, Odalys Estefania Lara-Garcia, Manjari Rani Regmi, Ruby Maini, Alarmelu Sambandam, Abhishek Kulkarni. Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report. https://ejmcr.com/articles/1364 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1588814039

AMA (American Medical Association) Style

Priyanka Parajuli, Mukul Bhattarai, Odalys Estefania Lara-Garcia, Manjari Rani Regmi, Ruby Maini, Alarmelu Sambandam, Abhishek Kulkarni. Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report. EJMCR. 1970; 01 (January 1970): 428-431. doi:10.24911/ejmcr/173-1588814039

Vancouver/ICMJE Style

Priyanka Parajuli, Mukul Bhattarai, Odalys Estefania Lara-Garcia, Manjari Rani Regmi, Ruby Maini, Alarmelu Sambandam, Abhishek Kulkarni. Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report. EJMCR. (1970), [cited December 25, 2024]; 01 (January 1970): 428-431. doi:10.24911/ejmcr/173-1588814039

Harvard Style

Priyanka Parajuli, Mukul Bhattarai, Odalys Estefania Lara-Garcia, Manjari Rani Regmi, Ruby Maini, Alarmelu Sambandam, Abhishek Kulkarni (1970) Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report. EJMCR, 01 (January 1970): 428-431. doi:10.24911/ejmcr/173-1588814039

Chicago Style

Priyanka Parajuli, Mukul Bhattarai, Odalys Estefania Lara-Garcia, Manjari Rani Regmi, Ruby Maini, Alarmelu Sambandam, Abhishek Kulkarni. "Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report." 01 (1970), 428-431. doi:10.24911/ejmcr/173-1588814039

MLA (The Modern Language Association) Style

Priyanka Parajuli, Mukul Bhattarai, Odalys Estefania Lara-Garcia, Manjari Rani Regmi, Ruby Maini, Alarmelu Sambandam, Abhishek Kulkarni. "Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report." 01.January 1970 (1970), 428-431. Print. doi:10.24911/ejmcr/173-1588814039

APA (American Psychological Association) Style

Priyanka Parajuli, Mukul Bhattarai, Odalys Estefania Lara-Garcia, Manjari Rani Regmi, Ruby Maini, Alarmelu Sambandam, Abhishek Kulkarni (1970) Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report. , 01 (January 1970), 428-431. doi:10.24911/ejmcr/173-1588814039