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Link to original content: https://pubmed.ncbi.nlm.nih.gov/10816181/
[Recurrent ventricular fibrillation during a febrile illness in a patient with the Brugada syndrome] - PubMed Skip to main page content
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Case Reports
. 2000 May;53(5):755-7.
doi: 10.1016/s0300-8932(00)75151-7.

[Recurrent ventricular fibrillation during a febrile illness in a patient with the Brugada syndrome]

[Article in Spanish]
J M González Rebollo  1 , A Hernández Madrid, A García, A García de Castro, A Mejías, C Moro
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Free article
Case Reports

[Recurrent ventricular fibrillation during a febrile illness in a patient with the Brugada syndrome]

[Article in Spanish]
J M González Rebollo et al. Rev Esp Cardiol. 2000 May.
Free article

Abstract

Different situations have been involved in the origin of ventricular arrhythmic events in patients with the Brugada syndrome such as bradycardia, alcohol consumption and mental stress. We present a 30 year old male with recurrent ventricular fibrillation due to a febrile illness with intense sweating. He had been previously studied at our Unit in 1995 because of an episode of resuscitated cardiac arrest due to ventricular fibrillation. The twelve-lead electrocardiogram showed the typical characteristics of a patient with the Brugada syndrome. Different invasive and non-invasive tests performed were normal. He received a defibrillator and had no recurrences during 4 years of follow up. In March,1999, after an upper respiratory tract infection he had high fever treated with paracetamol but at down he had sweating and chills, followed by 3 defibrillator shocks. Late interrogation showed 5 episodes of ventricular fibrillation, two of them non-sustained, and the rest adequately treated by the defibrillator. Activation and inactivation kinetics for early INa are twofold faster at higher temperature, and shift activation and steady-state inactivation. This may explain the role of the temperature as a trigger for ventricular arrhythmias in our patient.

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