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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| Format: | Article |
| Language: | English |
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Associazione Italiana Giovani Medici
2021-06-01
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| Series: | Euromediterranean Biomedical Journal |
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| Online Access: | http://www.embj.org/wp-content/uploads/2021/06/Mancia_17.pdf |
| _version_ | 1818670992767057920 |
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| author | Ettore Mancia |
| author_facet | Ettore Mancia |
| author_sort | Ettore Mancia |
| collection | DOAJ |
| 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 |
| first_indexed | 2024-12-17T07:16:55Z |
| format | Article |
| id | doaj.art-248a6c1c9dfa430e8d30a46cb819bb50 |
| institution | Directory Open Access Journal |
| issn | 2279-7165 2279-7165 |
| language | English |
| last_indexed | 2024-12-17T07:16:55Z |
| publishDate | 2021-06-01 |
| publisher | Associazione Italiana Giovani Medici |
| record_format | Article |
| series | Euromediterranean Biomedical Journal |
| spelling | doaj.art-248a6c1c9dfa430e8d30a46cb819bb502022-12-21T21:58:52ZengAssociazione 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 |
| spellingShingle | Ettore Mancia BRUGADA PATTERN IN HEROIN ADDICTION: SYNDROME OR PHENOCOPY? Euromediterranean Biomedical Journal brugada phenocopy heroin addiction rhabdomyolysis hyperkalemia |
| title | 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_short | BRUGADA PATTERN IN HEROIN ADDICTION: SYNDROME OR PHENOCOPY? |
| title_sort | brugada pattern in heroin addiction syndrome or phenocopy |
| 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 |