Syncope due to Brugada syndrome in a young athlete
- 1 March 2007
- journal article
- case report
- Published by BMJ in British Journal of Sports Medicine
- Vol. 41 (3), 180-181
- https://doi.org/10.1136/bjsm.2006.030098
Abstract
A 30-year-old male athlete with exercise-related syncopal symptoms spontaneously exhibited a type 1 Brugada ECG and was inducible during electrophysiology study. He was diagnosed with symptomatic Brugada syndrome and deemed at high risk of sudden cardiac death. Thus, he received a cardioverter/defibrillator and was advised to abstain from further competitive sports activities. This case points to a role of the ECG in pre-participation screening. It also demonstrates that, in athletes with Brugada syndrome, repolarisation anomalies may be markedly attenuated during vigorous exercise and considerably increased immediately after exercise. The observed J-wave amplitude dynamics suggests enhancement of pre-existing autonomic dysfunction through heavy exertion.Keywords
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