Brugada phenocopy secondary to hyperkalemia and hyponatremia in primary adrenal insufficiency
Abstract Introduction The Brugada phenocopy represents electrocardiogram (ECG) changes nearly identical to the Brugada syndrome but without the congenital abnormality associated with lethal arrhythmias and normalizes with treatment of the underlying etiology. This case highlights the Brugada phenoco...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-08-01
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| Series: | Journal of the American College of Emergency Physicians Open |
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| Online Access: | https://doi.org/10.1002/emp2.12800 |
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| author | Olga Amusina Sandeep Mehta Michael E. Nelson |
| author_facet | Olga Amusina Sandeep Mehta Michael E. Nelson |
| author_sort | Olga Amusina |
| collection | DOAJ |
| description | Abstract Introduction The Brugada phenocopy represents electrocardiogram (ECG) changes nearly identical to the Brugada syndrome but without the congenital abnormality associated with lethal arrhythmias and normalizes with treatment of the underlying etiology. This case highlights the Brugada phenocopy in the setting of moderate hyperkalemia and severe hyponatremia from adrenal insufficiency that resolves with treatment of the underlying metabolic disturbance. Case Report A 26‐year‐old man with no prior medical history presented to the emergency department with syncope, and his ECG revealed a Brugada‐like pattern. The patient was found to have significant metabolic derangements, including severe hyponatremia (94 mEq/L), moderate hyperkalemia (6.1 mEq/L), severe hypochloremia (<60 mEq/L), acute kidney injury, and rhabdomyolysis. The patient was diagnosed with primary adrenal insufficiency, and electrolyte correction led to resolution of the Brugada phenocopy. Conclusion The Brugada phenocopy on ECG can occur with severe hyponatremia and moderate hyperkalemia and quickly resolves with electrolyte correction. |
| format | Article |
| id | doaj-art-e4228945a505404cbe8371aba17471b9 |
| institution | OA Journals |
| issn | 2688-1152 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-e4228945a505404cbe8371aba17471b92025-08-20T02:04:25ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522022-08-0134n/an/a10.1002/emp2.12800Brugada phenocopy secondary to hyperkalemia and hyponatremia in primary adrenal insufficiencyOlga Amusina0Sandeep Mehta1Michael E. Nelson2NorthShore University HealthSystem Evanston Illinois USANorthShore University HealthSystem Evanston Illinois USANorthShore University HealthSystem Evanston Illinois USAAbstract Introduction The Brugada phenocopy represents electrocardiogram (ECG) changes nearly identical to the Brugada syndrome but without the congenital abnormality associated with lethal arrhythmias and normalizes with treatment of the underlying etiology. This case highlights the Brugada phenocopy in the setting of moderate hyperkalemia and severe hyponatremia from adrenal insufficiency that resolves with treatment of the underlying metabolic disturbance. Case Report A 26‐year‐old man with no prior medical history presented to the emergency department with syncope, and his ECG revealed a Brugada‐like pattern. The patient was found to have significant metabolic derangements, including severe hyponatremia (94 mEq/L), moderate hyperkalemia (6.1 mEq/L), severe hypochloremia (<60 mEq/L), acute kidney injury, and rhabdomyolysis. The patient was diagnosed with primary adrenal insufficiency, and electrolyte correction led to resolution of the Brugada phenocopy. Conclusion The Brugada phenocopy on ECG can occur with severe hyponatremia and moderate hyperkalemia and quickly resolves with electrolyte correction.https://doi.org/10.1002/emp2.12800adrenal insufficiencyBrugada phenocopycase reporthyperkalemiahyponatremia |
| spellingShingle | Olga Amusina Sandeep Mehta Michael E. Nelson Brugada phenocopy secondary to hyperkalemia and hyponatremia in primary adrenal insufficiency Journal of the American College of Emergency Physicians Open adrenal insufficiency Brugada phenocopy case report hyperkalemia hyponatremia |
| title | Brugada phenocopy secondary to hyperkalemia and hyponatremia in primary adrenal insufficiency |
| title_full | Brugada phenocopy secondary to hyperkalemia and hyponatremia in primary adrenal insufficiency |
| title_fullStr | Brugada phenocopy secondary to hyperkalemia and hyponatremia in primary adrenal insufficiency |
| title_full_unstemmed | Brugada phenocopy secondary to hyperkalemia and hyponatremia in primary adrenal insufficiency |
| title_short | Brugada phenocopy secondary to hyperkalemia and hyponatremia in primary adrenal insufficiency |
| title_sort | brugada phenocopy secondary to hyperkalemia and hyponatremia in primary adrenal insufficiency |
| topic | adrenal insufficiency Brugada phenocopy case report hyperkalemia hyponatremia |
| url | https://doi.org/10.1002/emp2.12800 |
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