Two patients with COVID-19 and a fever-induced Brugada-like electrocardiographic pattern

S W E van de Poll; C van der Werf

doi:10.1007/s12471-020-01459-1

Two patients with COVID-19 and a fever-induced Brugada-like electrocardiographic pattern

Neth Heart J. 2020 Jul;28(7-8):431-436. doi: 10.1007/s12471-020-01459-1.

Authors

S W E van de Poll¹, C van der Werf²

Affiliations

¹ Department of Cardiology, Franciscus Gasthuis and Vlietland Hospital, Rotterdam, The Netherlands.
² Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. c.vanderwerf@amsterdamumc.nl.

Abstract

Febrile states may unmask certain Brugada syndrome patients and precipitate ventricular arrhythmias. Here we describe two patients with COVID-19 who developed a fever-induced type 1 Brugada electrocardiographic pattern. Both patients did not show any ventricular arrhythmias during admission. These and previously published cases suggest that the threshold to run an ECG should be low in febrile patients with suspected COVID-19, because these patients are potentially at risk for developing proarrhythmic complications.

Keywords: Brugada syndrome; COVID-19; Fever.