Volume : III, Issue : V, May - 2014

Abstract :

Introduction Brugada syndrome is characterized by episodes of syncope or sudden death in patient with a normal heart but with an electrocardiographic pattern of ST segment elevation in precordial leads V1 to V3 and morphology resembling right bundle anch block. Syncope and sudden death are due to polymorphic ventricular tachycardia. These electrocardiographic signs may be discovered by chance during a routine occupational check–up of an asymptomatic patient. Case report A 37–year–old man with no history of syncope or fainting attended an occupational medicine service for a routine checkup. ECG showed an electrocardiographic pattern suggestive of Brugada syndrome type 2. The patient was referred to a reference centre for cardiac arrhythmias, where a flecainide test confirmed the diagnosis. Electrophysiological study showed a low profile of arrhythmic risk, and the patient was advised to avoid consumption of some medicaments and drugs of abuse that have been associated with sudden death in patients with Brugada syndrome. The patient remains asymptomatic 6 months after the diagnosis. Conclusions Occupational physicians making routine check–ups may diagnose Brugada syndrome and help prevent sudden death. It is important to know the occupational risks of a worker diagnosed Brugada syndrome to prevent or minimize the occurrence of ventricular arrhythmias.

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

, PARIPEX-INDIAN JOURNAL OF RESEARCH : Volume-2 | Issue-3 | March-2013

Number of Downloads : 169

References :