Brugada phenocopy induced by heatstroke: a case report

The patient, a 56-year-old male, was admitted to the emergency department due to confusion and elevated body temperature persisting for 1 d. He presented with multiple organ dysfunction, including coagulation dysfunction, respiratory failure, abnormal liver and kidney function, and gastrointestinal...

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Main Authors: LI Yaomin, XU Jianguo, YU Xia
Format: Article
Language:zho
Published: Editorial Office of Journal of Shanghai Jiao Tong University (Medical Science) 2025-04-01
Series:Shanghai Jiaotong Daxue xuebao. Yixue ban
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Online Access:https://xuebao.shsmu.edu.cn/article/2025/1674-8115/1674-8115-2025-45-4-523.shtml
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author LI Yaomin
XU Jianguo
YU Xia
author_facet LI Yaomin
XU Jianguo
YU Xia
author_sort LI Yaomin
collection DOAJ
description The patient, a 56-year-old male, was admitted to the emergency department due to confusion and elevated body temperature persisting for 1 d. He presented with multiple organ dysfunction, including coagulation dysfunction, respiratory failure, abnormal liver and kidney function, and gastrointestinal disorders. After excluding other potential causes, a diagnosis of heatstroke was made. Additionally, the patient exhibited myocardial injury and Brugada phenocopy, as evidenced by ST-segment elevation and Brugada wave on electrocardiogram. These findings may be related to several mechanisms such as myocardial thermal injury, systemic inflammatory response after heat stress, and abnormal function of temperator-sensitive ion channels. It is necessary to strengthen the understanding of heatstroke-related myocardial injury and Brugada phenotypy to help improve the treatment and prognosis of heatstroke.
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institution Kabale University
issn 1674-8115
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publishDate 2025-04-01
publisher Editorial Office of Journal of Shanghai Jiao Tong University (Medical Science)
record_format Article
series Shanghai Jiaotong Daxue xuebao. Yixue ban
spelling doaj-art-fa5fa414120a47ca84994c285c29c21a2025-08-20T03:47:32ZzhoEditorial Office of Journal of Shanghai Jiao Tong University (Medical Science)Shanghai Jiaotong Daxue xuebao. Yixue ban1674-81152025-04-0145452352810.3969/j.issn.1674-8115.2025.04.0161674-8115(2025)04-0523-06Brugada phenocopy induced by heatstroke: a case reportLI Yaomin0XU Jianguo1YU Xia2Electrocardiogram Room, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou 310009, ChinaElectrocardiogram Room, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou 310009, ChinaElectrocardiogram Room, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou 310009, ChinaThe patient, a 56-year-old male, was admitted to the emergency department due to confusion and elevated body temperature persisting for 1 d. He presented with multiple organ dysfunction, including coagulation dysfunction, respiratory failure, abnormal liver and kidney function, and gastrointestinal disorders. After excluding other potential causes, a diagnosis of heatstroke was made. Additionally, the patient exhibited myocardial injury and Brugada phenocopy, as evidenced by ST-segment elevation and Brugada wave on electrocardiogram. These findings may be related to several mechanisms such as myocardial thermal injury, systemic inflammatory response after heat stress, and abnormal function of temperator-sensitive ion channels. It is necessary to strengthen the understanding of heatstroke-related myocardial injury and Brugada phenotypy to help improve the treatment and prognosis of heatstroke.https://xuebao.shsmu.edu.cn/article/2025/1674-8115/1674-8115-2025-45-4-523.shtmlheatstrokemyocardial injuryst-segment elevationbrugada phenocopy
spellingShingle LI Yaomin
XU Jianguo
YU Xia
Brugada phenocopy induced by heatstroke: a case report
Shanghai Jiaotong Daxue xuebao. Yixue ban
heatstroke
myocardial injury
st-segment elevation
brugada phenocopy
title Brugada phenocopy induced by heatstroke: a case report
title_full Brugada phenocopy induced by heatstroke: a case report
title_fullStr Brugada phenocopy induced by heatstroke: a case report
title_full_unstemmed Brugada phenocopy induced by heatstroke: a case report
title_short Brugada phenocopy induced by heatstroke: a case report
title_sort brugada phenocopy induced by heatstroke a case report
topic heatstroke
myocardial injury
st-segment elevation
brugada phenocopy
url https://xuebao.shsmu.edu.cn/article/2025/1674-8115/1674-8115-2025-45-4-523.shtml
work_keys_str_mv AT liyaomin brugadaphenocopyinducedbyheatstrokeacasereport
AT xujianguo brugadaphenocopyinducedbyheatstrokeacasereport
AT yuxia brugadaphenocopyinducedbyheatstrokeacasereport