학술논문

Brugada Pattern in a Child with Severe SARS-CoV-2 Related Multisystem Inflammatory Syndrome.
Document Type
Case Study
Source
Pediatric Reports. Sep2021, Vol. 13 Issue 3, p504-510. 7p.
Subject
*MULTISYSTEM inflammatory syndrome in children
*SARS-CoV-2
*BRUGADA syndrome
*SYNDROMES
*ATRIAL fibrillation
*DIAGNOSIS
Language
ISSN
2036-7503
Abstract
This report presents the first case of Brugada pattern complicated by a supraventricular arrhythmia in a child with SARS-CoV-2 related Multisystem Inflammatory Syndrome in Children (MIS-C). A 7-year-old boy came to our Emergency Department with 7 days of abdominal pain and fever. MIS-C was diagnosed on the basis of the clinical, laboratory and instrumental tests. On admission, ECG showed type 1 Brugada pattern in the right precordial leads. During hospitalization the onset of supraventricular arrhythmias complicated the clinical picture. This case underlines management complexity of supraventricular arrhythmic events, different from atrial fibrillation, in patients with Brugada pattern in the context of a systemic inflammatory condition with significant cardiac involvement. All potential therapeutic choices should be considered to ensure the best outcomes. [ABSTRACT FROM AUTHOR]