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Emergency Medicine Journal 2007;24:e4; doi:10.1136/emj.2006.041202
© 2007 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMERGENCY CASEBOOK

Brugada-like electrocardiographic changes induced by fever

M Unlu1, F Bengi2, B Amasyali3 and S Kose3

1 Department of Cardiology, Diyarbakir Military Hospital, Diyarbakir, Turkey
2 Department of Emergency Medicine, Diyarbakir Military Hospital, Diyarbakir, Turkey
3 Department of Cardiology, Gulhane GATA Military Medical School, Ankara, Turkey

Correspondence to:
Correspondence to:
Dr M Unlu
Diyarbakir Asker Hastanesi, Kardiyoloji Klinigi, 21100 Diyarbakir, Turkey; drmuratunlu{at}gmail.com

ABSTRACT

As "time is myocardium" in the settings of acute myocardial infarction, it is important to make the diagnosis as quickly as possible, and a high clinical suspicion is needed to avoid missing the diagnosis, resulting in unwarranted interventions. The electrocardiogram is a crucial tool in the identification of acute chest pain, enabling a detailed analysis of patterns of ST-segment elevation. We describe the case of a 22-year-old man who presented with fever, with dynamic electrocardiographic changes similar to the Brugada syndrome. These electrocardiographic anomalies disappeared when the temperature returned to normal.

Abbreviations: ECG, electrocardiogram


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