Brugada syndrome with complete right bundle branch block disclosed by a febrile illness

Intern Med. 2008;47(9):843-6. doi: 10.2169/internalmedicine.47.0791. Epub 2008 May 1.

Abstract

The characteristic of right-bundle branch block (RBBB) pattern in Brugada syndrome (BS) is an atypical pattern without a wide S wave in left leads. We present a case of a patient with BS who had a typical ECG pattern of complete RBBB (CRBBB) with a wide S wave in the left leads which was disclosed by a febrile illness. Our observations suggest that physicians should be careful to evaluate ECG change in response to a febrile state, even if the ECG shows a typical CRBBB pattern with deep and wide S waves in the left leads.

Publication types

  • Case Reports

MeSH terms

  • Brugada Syndrome / diagnosis*
  • Brugada Syndrome / physiopathology
  • Brugada Syndrome / therapy
  • Bundle-Branch Block / complications
  • Bundle-Branch Block / diagnosis*
  • Bundle-Branch Block / therapy
  • Electrocardiography
  • Fever / complications
  • Humans
  • Male
  • Middle Aged
  • Pacemaker, Artificial
  • Ventricular Fibrillation / etiology