Type I Brugada pattern associated with diabetic ketoacidosis in a patient with type II diabetes mellitus

Semih Kalkan, Ahmet Güner, Macit Kalçık, Çetin Geçmen, Mehmet Özkan
2018 Anatolian Journal of Cardiology  
nostic distinction between BrP and true congenital BrS focuses on a few key features. First, patients with BrP have a reversible underlying condition, such as adrenal insufficiency, hypokalemia, or myocardial ischemia, that elicits or induces the Brugada ECG pattern. Once this underlying condition resolves, there is prompt normalization of the ECG. Second, patients with BrP have a low clinical pretest probability of true congenital BrS as opposed to a high clinical pretest probability in
more » ... s with BrS, who have a history of VF, polymorphic VT, nonvagal syncope, and a family history of sudden cardiac. Third, patients with BrP have a negative provocative challenge with a sodium channel blocker, whereas those with true congenital BrS have a positive provocative challenge. Therefore, ECG alone cannot be used as a diagnostic tool. Implantation of an implantable cardioverter defibrillation in an asymptomatic patient without a spontaneous type 1 Brugada electrocardiographic pattern has no benefit.
doi:10.14744/anatoljcardiol.2018.43789 pmid:30520428 fatcat:mlwi4ckzh5e2jhd76ct4mgfkyu