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Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7]. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. Recently the rate of true arrhythmic events related to fevers in the classic Brugada Type 1 syndrome was explored by Michowitz et al.
Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7]. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. Recently the rate of true arrhythmic events related to fevers in the classic Brugada Type 1 syndrome was explored by Michowitz et al.
Essential Reading : Full text link: AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram, Part IV: The ST Segment, T and U Waves, and the QT Interval (full text link). Here is another study showing how insensitive computer algorithms are for a long QT (Pediatrics 2001;108:8 12).
Further history later: This patient personally has no further high risk features (syncope / presyncope), but her mother had sudden cardiacarrest in sleep. We repeated the ECG: Brugada pattern is mostly resolved. Follow up the next AM: Brugada pattern is resolved Below is what the electrophysiologist recommended.
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