Brugada phenocopy secondary to hyperkalemia and hyponatremia in primary adrenal insufficiency

Autor: Olga Amusina, Sandeep Mehta, Michael E. Nelson
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of the American College of Emergency Physicians Open, Vol 3, Iss 4, Pp n/a-n/a (2022)
Druh dokumentu: article
ISSN: 2688-1152
DOI: 10.1002/emp2.12800
Popis: Abstract Introduction The Brugada phenocopy represents electrocardiogram (ECG) changes nearly identical to the Brugada syndrome but without the congenital abnormality associated with lethal arrhythmias and normalizes with treatment of the underlying etiology. This case highlights the Brugada phenocopy in the setting of moderate hyperkalemia and severe hyponatremia from adrenal insufficiency that resolves with treatment of the underlying metabolic disturbance. Case Report A 26‐year‐old man with no prior medical history presented to the emergency department with syncope, and his ECG revealed a Brugada‐like pattern. The patient was found to have significant metabolic derangements, including severe hyponatremia (94 mEq/L), moderate hyperkalemia (6.1 mEq/L), severe hypochloremia (
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