creators_name: Ozeke, Ozcan creators_name: Aras, Dursun creators_name: Geyik, Bilal creators_name: Deveci, Bulent creators_name: Selcuk, Timur editors_name: Singh, Balbir editors_name: Lokhandwala, Yash editors_name: Francis, Johnson editors_name: Gupta, Anup type: journalp datestamp: 2005-04-16 lastmod: 2011-03-11 08:55:57 metadata_visibility: show title: Brugada-type Electrocardiographic Pattern Induced by Fever ispublished: pub subjects: ipej full_text_status: public keywords: Brugada syndrome; Fever abstract: ST-segment elevation in Brugada syndrome is caused by a shift in the ionic current balance and the creation of a voltage gradient between the epicardium and the endocardium. This ionic mechanism have been shown to be temperature dependent. We describe a 33-year-old man who presented with fever with the dynamic electrocardiographic changes similar to the Brugada syndrome. These electrocardiographic anomalies disappeared when the temperature returned to normal. date: 2005-04 date_type: published publication: Indian Pacing and Electrophysiology Journal volume: 5 number: 2 publisher: Indian Pacing and Electrophysiology Group pagerange: 146-148 refereed: TRUE referencetext: 1. Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation, and sudden cardiac death: a distinct clinical and electrocardiographic syndrome: a multicenter report. J Am Coll Cardiol. 1992; 20: 1391–1396 2. Wilde AA, Antzelevitch C, Borggrefe M, Brugada J, Brugada R, Brugada P,et al. Proposed diagnostic criteria for the Brugada syndrome: consensus report. Eur Heart J. 2002 Nov;23(21):1648-54. 3. Antzelevitch CH. The Brugada syndrome: ionic basis and arrhythmia mechanisms. J Cardiovasc Electrophysiol. 2001; 12: 268–272. 4. Saura D, Garcia-Alberola A, Carrillo P, Pascual D, Martinez-Sanchez J, Valdes M. Brugada-like electrocardiographic pattern induced by fever. Pacing Clin Electrophysiol. 2002 May;25(5):856-9. 5. Morita H, Nagase S, Kusano K, Ohe T. Spontaneous T wave alternans and premature ventricular contractions during febrile illness in a patient with Brugada syndrome. J Cardiovasc Electrophysiol. 2002 Aug;13(8):816-8. 6. Dinckal MH, Davutoglu V, Akdemir I, Soydinc S, Kirilmaz A, Aksoy M.et al. Incessant monomorphic ventricular tachycardia during febrile illness in a patient with Brugada syndrome: fatal electrical storm. Europace. 2003 Jul;5(3):257-61. 7. Porres JM, Brugada J, Urbistondo V, Garcia F, Reviejo K, Marco P. Fever unmasking the Brugada syndrome. Pacing Clin Electrophysiol. 2002 Nov;25(11):1646-8. 8. Antzelevitch C, Brugada R. Fever and Brugada syndrome. Pacing Clin Electrophysiol. 2002 Nov;25(11):1537-9. citation: Ozeke, Ozcan and Aras, Dursun and Geyik, Bilal and Deveci, Bulent and Selcuk, Timur (2005) Brugada-type Electrocardiographic Pattern Induced by Fever. [Journal (Paginated)] document_url: http://cogprints.org/4224/1/ozeke.htm document_url: http://cogprints.org/4224/2/ozeke.pdf