HRS Board Review 2025 New Courses (Reviewers Copy)-Workshop 1_Electrocardio_London_2025

Workshop 1_Electrocardio_London_2025_case 10 answer

Video Transcription

Video Summary

The patient has Brugada syndrome, where symptoms and ECG abnormalities can worsen with fever. He should be treated with Tylenol and hospitalized for monitoring. While quinidine can help during arrhythmic storms, it isn't useful for primary prevention of arrhythmias or sudden death. Beta blockers don't prevent these problems and can worsen the condition. Long-term, a defibrillator is the only proven treatment. Fever can exacerbate the syndrome's symptoms, so aggressive antipyretic treatment and monitoring are essential when type one Brugada patterns arise, especially if the patient exhibits arrhythmia-related symptoms.

Keywords

Brugada syndrome

fever

defibrillator

quinidine

arrhythmia