Een man met koortsafhankelijke ecg-afwijkingen

Diagnose in beeld
Ype de Jong, Manu Bilsen en Robert W. Grauss

A man with fever-dependent ECG abnormalities

We present a patient with fever-induced Brugada syndrome, a rare cardiac disease caused by an inherited ion channelopathy and associated with malignant arrhythmias. ECG findings normalized after the fever resolved. As Brugada syndrome can be confused with anterior myocardial ischemia, right bundle branch block and intoxication with tricyclic antidepressants, ECG recognition is important. Patients with Brugada syndrome are instructed to avoid contraindicated substances, and fever should be treated aggressively.

Conflict of interest and financial support: none declared.