COVID-19-induced Brugada phenocopy pattern in a patient with previous myocardial infarction: A case report

This case highlights the importance of considering fever-induced Brugada phenocopy in the differential diagnosis of ST-segment elevation in patients with coronary artery disease. Careful ECG analysis, including assessment of the β-angle and r'-wave morphology, is crucial to avoid misdiagnosis of ST-elevation myocardial infarction. Initial management should focus on controlling triggering factors such as fever with antipyretics and antivirals to prevent malignant arrhythmias.

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Publication Details

Journal
Medicine
Published
2025-12-26
DOI
https://doi.org/10.1097/md.0000000000046907
Primary Topic
Cardiac electrophysiology and arrhythmias
Type
article
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0.00
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article

COVID-19-induced Brugada phenocopy pattern in a patient with previous myocardial infarction: A case report

Huayong Jin, Lijiang Ding
Medicine
Cardiac electrophysiology and arrhythmias
article

COVID-19-induced Brugada phenocopy pattern in a patient with previous myocardial infarction: A case report

Huayong Jin, Lijiang Ding
article en

Abstract

This case highlights the importance of considering fever-induced Brugada phenocopy in the differential diagnosis of ST-segment elevation in patients with coronary artery disease. Careful ECG analysis, including assessment of the β-angle and r'-wave morphology, is crucial to avoid misdiagnosis of ST-elevation myocardial infarction. Initial management should focus on controlling triggering factors such as fever with antipyretics and antivirals to prevent malignant arrhythmias.

MedicineVol. 104(52)
Shaoxing People's Hospital (CN)
Good health and well-being
Openalex Percentile: Top 31%
Cardiac electrophysiology and arrhythmias
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