A young man with exertional chest discomfort
Diffuse ST-T deviations have been described in patients with heat stroke , but right precordial leads ST elevation suggestive of Brugada pattern in this context is exceptional . Ion channels sensitive to temperature may explain this electrocardiographic finding in susceptible individuals. In the present case, the rapid resolution of ECG abnormalities favours the diagnosis of Brugada-like ECG pattern induced by exertional heat stroke, and a negative ajmaline provocation test reinforces the diagnosis.
Type 1 Brugada-like ECG pattern induced by exertional heat stroke.
Conflict of interest
L.E. Lezcano Gort, B. Roque Rodríguez and M.R. Porro Fernández declare that they have no competing interests.
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.