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Two patients with COVID-19 and a fever-induced Brugada-like electrocardiographic pattern

Sweder W.E. van de Poll, Christian van der Werf

2020Netherlands Heart Journal17 citationsDOIOpen Access PDF

Abstract

Febrile states may unmask certain Brugada syndrome patients and precipitate ventricular arrhythmias. Here we describe two patients with COVID-19 who developed a fever-induced type 1 Brugada electrocardiographic pattern. Both patients did not show any ventricular arrhythmias during admission. These and previously published cases suggest that the threshold to run an ECG should be low in febrile patients with suspected COVID-19, because these patients are potentially at risk for developing proarrhythmic complications.

Topics & Concepts

Coronavirus disease 2019 (COVID-19)Brugada syndromeMedicine2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)PandemicVirologyInternal medicineOutbreakInfectious disease (medical specialty)DiseaseCardiac electrophysiology and arrhythmiasIon channel regulation and functionECG Monitoring and Analysis
Two patients with COVID-19 and a fever-induced Brugada-like electrocardiographic pattern | Litcius