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Tag Archives: Brugada phenocopy

July 2025 Br J Cardiol 2025;32(3) doi:10.5837/bjc.2025.034 Online First

A concealed arrhythmia: Brugada phenocopy as a cardiac manifestation of hyperkalaemia in diabetic ketoacidosis

Attia Mustafa, Rajaa Jadulmawlay, Waleed El-Mabrouk

Abstract

Introduction Brugada syndrome (BrS) is a rare genetic arrhythmogenic disorder that typically presents with distinctive electrocardiographic (ECG) findings, which can lead to sudden cardiac death in patients without structural cardiac defects.1,2 The Brugada type 1 ECG pattern is a rare finding in severe hyperkalaemia, representing a phenomenon known as Brugada phenocopy (BrP). This phenomenon occurs in the absence of congenital abnormality and typically resolves with the appropriate management of the underlying aetiology.3 Case presentation A 32-year-old man presented to the emergency department with shortness of breath and altered mental sta

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