BRUGADA SYNDROME: A CLINICAL CASE

Introduction: Brugada Syndrome (BrS) is an inherited cardiac arrhythmia that predispose patients to sudden cardiac death. Eletrocardiographically it is characterized by coved type ST-elevation in the right pre-cordial leads. This pattern may occur spontaneously or in the presence of provocative agents. Most patients with a Brugada ECG are asymptomatic, usually diagnosed incidentally. Clinical Case: Male, 23 years of age with Allergic Asthma but without any known family history of cardiac disease or sudden death, was admitted in the hospital presenting with fever, dry cough and dyspnea for about 24 hours of evolution. Physical examination was normal, except by the body temperature (T-38.5 ° C) and tachicardia (114 bpm). A routine ECG was performed and showed a Brugada type 1 pattern. The patient was discharged with the diagnosis of Flu and was referred to cardiology consultation. Once he was asymptomatic, aelectrophysiological study has been performed for risk stratification of sudden cardiac death. The genetic study confirmed the mutation in the SCN5A gene responsible for the syndrome. The patient was also forwarded to his family doctor to rule out other carriers of the mutation in the family. Currently the patient remains asymptomatic, performing annual 24h-ECG monitoring. Conclusion: The family doctor has an important role as a provider of longitudinal care in patient with BrS. Knowledge of this syndrome allows taking preventive action of sudden cardiac death, not only by placing CDI, but the proper monitoring and management of the patient, promoting patient education and adjustment to illness.