Tag Archives: Brugada syndrome

Introduction Brugada syndrome (BrS) is an inherited cardiac channelopathy predisposing patients to ventricular arrhythmias.1 This case demonstrates the difficulties of managing a BrS storm in a district general hospital (DGH) using current guidelines.1–5 It also highlights both benefits and risks of implantable cardioverter-defibrillator (ICD) implantation in previously asymptomatic patients with BrS.1–3 Case presentation A 61-year-old man presented to a DGH with exertional chest pain associated with diaphoresis without fever. He had a diagnosis of type I BrS (figure 1) with confirmed SCN5A mutation. He had never suffered from syncope, no

Case A 45-year-old woman with no significant past medical history presented to our hospital in October 2015 with coryzal symptoms. She complained of a sore throat, malaise and described a brief loss of consciousness. She was assessed and found to be febrile with a temperature of 38.3 degrees Celsius. Physical examination and work-up with blood tests and chest X-ray (CXR) were unremarkable. The working diagnosis was that of a flu-like illness. The patient was given reassurances and advised bed rest, fluids and paracetamol. She was discharged from hospital and it was not until her notes were reviewed by a consultant physician that a suspicion o

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