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
