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2021, Number 4

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Rev Cubana Cardiol Cir Cardiovasc 2021; 27 (4)

Brugada phenocopy in the context of a severe COVID-19 infection

de la Torre FLM, Alarcón CR, Barreda PAM, Columbié LVM
Full text How to cite this article

Language: Spanish
References: 12
Page: 1-4
PDF size: 545.84 Kb.


Key words:

Brugada syndrome, phenocopy Brugada, K outflow channels (Ito).

ABSTRACT

Brugada phenocopies are an electrocardiographic pattern with the same morphologhy as the Brugada Synrome type 1 and 2 pattern, in patients with metabolic, ischemic and/or mechanical alterations.
This is a 74-year-old patient with a history of Arterial Hypertension, who is admitted to the Intensive Care Unit with a positive diagnosis of COVID-19. He presents mixed acidosis, severe hypoxemia and hyperkalemia and in twelve-lead electrocardiogram a Brugada type 1 pattern (coved).
Metabolic disorders, myocardial damage, and ventilation/perfusion alterations in the context of a seriuos infection due to COVID-19 would be the mechanisms responsible for this electrocardiographic pattern in these patient.


REFERENCES

  1. Bayés de Luna A, Brugada J, Baranchuk A, Borggrefe M, Breithardt G, Goldwasser D Lambiasse P, et al. Current electrocardiographic criteria for diagnosis of Brugada pattern: a consensus report. J Electrocardiol 2012 Sept;45(5):433-442. https://doi.org/10.1016/j.jelectrocard.2012.06.004. Erratum in J Electrocardiol. 2013 Jan-Feb;46(1):76. PBMID: 229202.

  2. Anselm DD, Evans J, Baranchuk A. Brugada phenocopy: a new electrocardiogram phenomenon. World J Cardiol 2014 Mar 26;6(3):81–6. https://doi.org/10.4330jc.v6.i3.81. PMID: 24669289.

  3. Anselm DD, Baranchuk A. Brugada Phenocopy: redefinition and updated classification. Am J Cardiol. 2013 Feb 1;111(3):453. https://doi.org/10.1016/j.amjcard.2012.09.005. PMID: 23317529.

  4. Szél T, Antzelevitch C. Abnormal repolarization as the basis for late potentials and fractionated electrograms recorded from epicardium in experimental models of Brugada syndrome. J Am Coll Cardiol 2014 May 20;63(19):2037–45. https://doi.org/10.1016/j.jacc.2014.01.067. PMID: 24657694.

  5. Çinier G, Tse G, Baranchuk A. Brugada phenocopies: Current evidence, diagnostic algorithms and a perspective for the future. Turk Kardiol Dern Ars. 2020 Mar;48(2):158-166. https://doi.org/10.5543/tkda.2020.06118. PMID: 32147660.

  6. García-Niebla J, Bayés de Luna A, Baranchuk A. Multifactorial Brugada Phenocopy. JAMA Intern Med. 2018 Jun 1;178(6):872. https://doi.org/10.1001jamainternmed.2018.2012. PMID:29868743

  7. Rivera-Juárez A, Hernández-Romero I, Puertas C, Zhang-Wang S, Sánchez-Álamo B, Martins R, Figuera C, Guillem MS, Climent AM, Fernández-Avilés F, Tejedor A, Jlife J, Atienza F. Clinical Characteristics and Electrophysiological Mechanisms Underlying Brugada ECG in Patients With Severe Hyperkalemia. J Am Heart Assoc. 2019 Feb 5;8(3):e010115. https://doi.org/10.1161/JAHA.118.010115. PMID: 306755; PMCID6405573.

  8. Xu G, Gottschalk BH, Anselm DD, Benditt DG, Maheshwari A, Sreenivasan S, et al. Relation of the Brugada phenocopy to hyperkalemia (from the International Registry on Brugada Phenocopy). Am J Cardiol 2018 Mar 15;121(6):715–717. https://doi.org/10.1016/j.amjcard.2017.1.008. Epub 2017 Dec 29. PMID: 29397883.

  9. Frustaci A, Priori SG, Pieroni M, Chimenti C, Napolitano C, Rivolta et al. Cardiac histological substrate in patients ith clinical phenotype of Brugada syndrome. Circulation. 2005 Dec 13;112(24):3680-7. http://doi.org/10.1161/CIRCULATIONAHA.105.520999. PMID: 16344400.

  10. Shimizu M, Nishizaki M, Yamawake N, Fujii H, Sakurada H, Isobe M, Hiraoka M. J wave and fragmented QRS formation during the hyperacute phase in Takotsubo cardiomyopathy. Circ J. 2014;78(4):943-9. https://doi.org/10.1253/circj.cj-13-1296. Epub 2014 Feb 6. PMID: 24500071.

  11. Li YH, Rozanski GJ. Effects of human recombinant interleukin-1 on electrical properties of guinea pig ventricular cells. Cardiovasc Res. 1993 Mar;27(3):525-30. https://doi.org/10.1093/cvr/27.3.525.

  12. De la Torre Fonseca LM. Lesión miocárdica del paciente con COVID-19. CorSalud [online]. 2020, vol.12, n.2 [citado 2021-02-27]; pp.171-183. Disponible en: .




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Rev Cubana Cardiol Cir Cardiovasc. 2021;27