(FIT)-Module 1, Workshop 1: Electrocardiographic/Electrophysiologic Correlation-London Case 10 Answer

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The patient has Brugada syndrome, with fever exacerbating the ECG pattern, leading to a type one Brugada syndrome ECG. Treatment involves antipyretics like Tylenol and hospital admission for monitoring, as fever can trigger arrhythmias. Beta blockers are ineffective and can worsen the condition. While quinidine may normalize the ECG during arrhythmic storms, it isn't supported for primary arrhythmia prevention. Long-term, the only proven treatment for preventing sudden death is a defibrillator. Monitoring and timely intervention are crucial, especially if symptoms suggest arrhythmias, ensuring prompt medical response.

Keywords

Brugada syndrome

fever-induced arrhythmia

ECG pattern

antipyretic treatment

defibrillator prevention