Transient Type 1 Brugada Pattern without Ongoing Fever during COVID-19 Pneumonia

Maria Cristina Pasqualetto; Andrea Corrado; Eleonora Secco; Fabio Graceffa; Fausto Rigo

doi:10.12890/2020_001808

Transient Type 1 Brugada Pattern without Ongoing Fever during COVID-19 Pneumonia

Eur J Case Rep Intern Med. 2020 Jun 19;7(7):001808. doi: 10.12890/2020_001808. eCollection 2020.

Authors

Maria Cristina Pasqualetto¹, Andrea Corrado², Eleonora Secco¹, Fabio Graceffa¹, Fausto Rigo¹

Affiliations

¹ Division of Cardiology, Dolo Hospital AULSS 3, Venice, Italy.
² Division of Cardiology, Mestre Ospedale dell'Angelo AULSS 3, Venice, Italy.

Abstract

Patients with COVID-19 pneumonia can develop heart problems and may also may be susceptible to proarrhythmia, virus-related issues such as fever, stress, electrolyte disturbance and adverse effects from the use of antiviral drugs. We report a transient Brugada-like ECG pattern without ongoing fever in a 57-year-old man, admitted with a diagnosis of COVID-19 pneumonia, who did not have syncope or a family history of sudden cardiac death.

Learning points: Patients with COVID-19 pneumonia can develop heart problems.A transient Brugada-like ECG pattern was observed in a non-febrile COVID-19 patient.SARS-CoV-2 may have a direct effect on myocardial ion channels.

Keywords: Brugada pattern; COVID-19; fever; myocardial ion channels.