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
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
Authors
Correspondence to:
Priyanka Parajuli, Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA priyankaparajulimd@gmail.com
Publication history:
Received 07 May 2020
Revised 19 Sep 2020
Accepted 24 Sep 2020
Published in print 29 Dec 2020
Parajuli P, Bhattarai M, Lara-Garcia OE, Regmi MR, Maini R, Sambandam A, Kulkarni A. Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report. EJMCR. 2020; 4(12): 428-431. doi:
10.24911/ejmcr/173-1588814039
Parajuli P, Bhattarai M, Lara-Garcia OE, Regmi MR, Maini R, Sambandam A, Kulkarni A. Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report. https://www.ejmcr.com/?mno=105235 [Access: March 29, 2024]. doi:
10.24911/ejmcr/173-1588814039
Parajuli P, Bhattarai M, Lara-Garcia OE, Regmi MR, Maini R, Sambandam A, Kulkarni A. Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report. EJMCR. 2020; 4(12): 428-431. doi:
10.24911/ejmcr/173-1588814039
Parajuli P, Bhattarai M, Lara-Garcia OE, Regmi MR, Maini R, Sambandam A, Kulkarni A. Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report. EJMCR. (2020), [cited March 29, 2024]; 4(12): 428-431. doi:
10.24911/ejmcr/173-1588814039
Parajuli, P., Bhattarai, . M., Lara-Garcia, . O. E., Regmi, . M. R., Maini, . R., Sambandam, . A. & Kulkarni, . A. (2020) Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report. EJMCR, 4 (12), 428-431. doi:
10.24911/ejmcr/173-1588814039
Parajuli, Priyanka, Mukul Bhattarai, Odalys Estefania Lara-Garcia, Manjari Rani Regmi, Ruby Maini, Alarmelu Sambandam, and Abhishek Kulkarni. 2020. Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report. European Journal of Medical Case Reports, 4 (12), 428-431. doi:
10.24911/ejmcr/173-1588814039
Parajuli, Priyanka, Mukul Bhattarai, Odalys Estefania Lara-Garcia, Manjari Rani Regmi, Ruby Maini, Alarmelu Sambandam, and Abhishek Kulkarni. "Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report." European Journal of Medical Case Reports 4 (2020), 428-431. doi:
10.24911/ejmcr/173-1588814039
Parajuli, Priyanka, Mukul Bhattarai, Odalys Estefania Lara-Garcia, Manjari Rani Regmi, Ruby Maini, Alarmelu Sambandam, and Abhishek Kulkarni. "Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report." European Journal of Medical Case Reports 4.12 (2020), 428-431. Print. doi:
10.24911/ejmcr/173-1588814039
Parajuli, P., Bhattarai, . M., Lara-Garcia, . O. E., Regmi, . M. R., Maini, . R., Sambandam, . A. & Kulkarni, . A. (2020) Transient Brugada-like ECG pattern incited by uncontrolled hypertension - a rare case report. European Journal of Medical Case Reports, 4 (12), 428-431. doi:
10.24911/ejmcr/173-1588814039