Brugada Phenocopy in Concomitant Ethanol and Heroin Overdose

Brugada phenocopy describes conditions with Brugada‐like ECG pattern but without true congenital Brugada syndrome. We report a case of 44‐year‐old man with no known medical history who presented with loss of consciousness. Toxicology screening was positive for opiates and high serum alcohol level. H...

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Bibliographic Details
Published in:Annals of noninvasive electrocardiology 2015-01, Vol.20 (1), p.87-90
Main Authors: Rambod, Mehdi, Elhanafi, Sherif, Mukherjee, Debabrata
Format: Article
Language:English
Subjects:
Adult
Brugada syndrome
Brugada Syndrome - chemically induced
Brugada Syndrome - physiopathology
Case Report
Case Reports
Consciousness
Drug overdose
Drug Overdose - drug therapy
Drug Overdose - physiopathology
electrocardiography
Electrocardiography - drug effects
electrophysiology
Ethanol - poisoning
Heroin
Heroin - poisoning
Humans
Male
Naloxone - therapeutic use
Narcotic Antagonists - therapeutic use
noninvasive techniques
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Description
Summary:Brugada phenocopy describes conditions with Brugada‐like ECG pattern but without true congenital Brugada syndrome. We report a case of 44‐year‐old man with no known medical history who presented with loss of consciousness. Toxicology screening was positive for opiates and high serum alcohol level. His initial ECG showed Brugada type 1 pattern which resolved after several hours of observation and treatment with continuous naloxone infusion. Patient regained his consciousness and disclosed heroin abuse and drinking alcohol. This case highlights the heroin overdose as a possible cause of Brugada phenocopy.
ISSN:1082-720X
1542-474X
DOI:10.1111/anec.12171