Abstract
Introduction: Brugada phenocopies (BrPs) are clinical entities that
differ in etiology from true congenital Brugada syndrome (BrS) but have
identical electrocardiographic (ECG) patterns. Methods: Our Manuscript
reports a interesting case of BrP in a young man with heroin overdose
who developed Acute Kidney Failure secondary to rhabdomyolysis. His
initial ECG showed Brugada type 1 pattern with elevation “Coved-Type”
of the ST segment in V1 and V2. The Brugada ECG pattern resolved upon
hemodialysis treatment. Provocative testing using sodium channel
blockers was performed, and failed to reproduce a BrS ECG pattern,
confirming the diagnosis of Brugada’s phenocopy. Conclusion: Several
clinical conditions can imitate a true Brugada Syndrome and Brugada
Phenocopies are a part of those conditions. A systematic approach and a
prompt recognition of this clinical and electrocardiographic entity may
avoid diagnostic errors and may promote the initiation of appropriate
treatments.