BRUGADA PATTERN IN HEROIN ADDICTION: SYNDROME OR PHENOCOPY?

Brugada phenocopies (BrPs) are clinical entities that show an electrocardiogram (ECG) pattern similar to what is observed in Brugada syndrome (BrS). They are caused by different clinical conditions. We describe a case of BrP in a man that developed acute kidney failure secondary to rhabdomyolysis, a...

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Main Author: Ettore Mancia
Format: Article
Language:English
Published: Associazione Italiana Giovani Medici 2021-06-01
Series:Euromediterranean Biomedical Journal
Subjects:
Online Access:http://www.embj.org/wp-content/uploads/2021/06/Mancia_17.pdf
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spelling doaj-248a6c1c9dfa430e8d30a46cb819bb502021-06-14T21:43:55ZengAssociazione Italiana Giovani MediciEuromediterranean Biomedical Journal2279-71652279-71652021-06-011617757710.3269/1970-5492.2021.16.17BRUGADA PATTERN IN HEROIN ADDICTION: SYNDROME OR PHENOCOPY?Ettore Mancia0https://orcid.org/0000-0001-5642-0889University of PalermoBrugada phenocopies (BrPs) are clinical entities that show an electrocardiogram (ECG) pattern similar to what is observed in Brugada syndrome (BrS). They are caused by different clinical conditions. We describe a case of BrP in a man that developed acute kidney failure secondary to rhabdomyolysis, after heroin addiction. His initial ECG showed Brugada type 1 pattern resolved after hemodialytic treatment. A provocative test with ajmaline, which resulted negative, was performed to confirm the diagnosis. BrPs can mimic a true BrS and a fast recognition of these clinical and electrocardiographic findings may avoid diagnostic mistakes thus preventing unnecessary or inaccurate treatmentshttp://www.embj.org/wp-content/uploads/2021/06/Mancia_17.pdfbrugada phenocopyheroin addictionrhabdomyolysishyperkalemia
collection DOAJ
language English
format Article
sources DOAJ
author Ettore Mancia
spellingShingle Ettore Mancia
BRUGADA PATTERN IN HEROIN ADDICTION: SYNDROME OR PHENOCOPY?
Euromediterranean Biomedical Journal
brugada phenocopy
heroin addiction
rhabdomyolysis
hyperkalemia
author_facet Ettore Mancia
author_sort Ettore Mancia
title BRUGADA PATTERN IN HEROIN ADDICTION: SYNDROME OR PHENOCOPY?
title_short BRUGADA PATTERN IN HEROIN ADDICTION: SYNDROME OR PHENOCOPY?
title_full BRUGADA PATTERN IN HEROIN ADDICTION: SYNDROME OR PHENOCOPY?
title_fullStr BRUGADA PATTERN IN HEROIN ADDICTION: SYNDROME OR PHENOCOPY?
title_full_unstemmed BRUGADA PATTERN IN HEROIN ADDICTION: SYNDROME OR PHENOCOPY?
title_sort brugada pattern in heroin addiction: syndrome or phenocopy?
publisher Associazione Italiana Giovani Medici
series Euromediterranean Biomedical Journal
issn 2279-7165
2279-7165
publishDate 2021-06-01
description Brugada phenocopies (BrPs) are clinical entities that show an electrocardiogram (ECG) pattern similar to what is observed in Brugada syndrome (BrS). They are caused by different clinical conditions. We describe a case of BrP in a man that developed acute kidney failure secondary to rhabdomyolysis, after heroin addiction. His initial ECG showed Brugada type 1 pattern resolved after hemodialytic treatment. A provocative test with ajmaline, which resulted negative, was performed to confirm the diagnosis. BrPs can mimic a true BrS and a fast recognition of these clinical and electrocardiographic findings may avoid diagnostic mistakes thus preventing unnecessary or inaccurate treatments
topic brugada phenocopy
heroin addiction
rhabdomyolysis
hyperkalemia
url http://www.embj.org/wp-content/uploads/2021/06/Mancia_17.pdf
work_keys_str_mv AT ettoremancia brugadapatterninheroinaddictionsyndromeorphenocopy
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