Pediatric Brugada Syndrome: Understanding Fever's Role
Author Information
Author(s): Leung Hei‐To, Kwok Sit‐Yee, Shih Fong‐Ying, Lun Kin‐Shing, Yung Tak‐Cheung, Tsao Sabrina
Primary Institution: Hong Kong Children's Hospital
Hypothesis
This study investigates the clinical and genetic characteristics of children with Brugada syndrome in Hong Kong.
Conclusion
Fever plays a significant role in unmasking Brugada syndrome in children, and asymptomatic children managed conservatively have a favorable prognosis.
Supporting Evidence
- Seven out of eight patients had fever at initial presentation.
- 62.5% of asymptomatic patients were diagnosed during febrile illness.
- All symptomatic patients received implantable cardioverter-defibrillator placement.
Takeaway
Fever can reveal a heart condition called Brugada syndrome in kids, but if they don't have symptoms, they usually do well with simple care.
Methodology
A retrospective review of pediatric Brugada syndrome patients under 18 years old at a tertiary pediatric cardiology center from 2002 to 2022.
Limitations
The study is limited by its small sample size and retrospective design.
Participant Demographics
The cohort consisted of 8 pediatric patients, predominantly male (6 boys and 2 girls), with a mean age of 10 years.
Digital Object Identifier (DOI)
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