• J Clin Anesth · Sep 2013

    Case Reports

    Brugada ECG disclosed by acute malaria: is it all about fever and propofol?

    • Marco Meggiolaro, Alessandro Zorzi, El Maghawry Mohamed M, Francesco Peruzza, Federico Migliore, and Giovanni Maria Pittoni.
    • Division of Anesthesiology and Intensive Care, University Hospital of Padova, 31100 Padua, Italy. Electronic address: meggiomarco@libero.it.
    • J Clin Anesth. 2013 Sep 1; 25 (6): 483-7.

    AbstractBrugada syndrome is an electrical cardiac disease predisposing to ventricular arrhythmias in which typical electrocardiographic (ECG) features consist of nonischemic repolarization abnormalities in the right precordial leads V1-V3. The appearance of a Brugada-ECG pattern is increasingly observed in critically ill patients and is traditionally attributed to the effect of body temperature and/or drug modulation on cardiac ion channels ("acquired Brugada syndrome"). A patient with complicated malaria in whom Brugada-ECG abnormalities appeared in concomitance with fever and propofol administration is presented. The repolarization changes did not disappear until the patient's clinical course improved. © 2013 Elsevier Inc. All rights reserved.

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