PMC2801527_01
ECG upon admission demonstrating ST-segment elevations in leads V1 and V2 and incomplete right-bundle-branch block pattern, findings consistent with Brugada type 1 pattern. The patient was febrile to 103 F when this ECG was performed.
CRM2009-492031.001.jpg
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fig1
On admission, a routine electrocardiogram (Figure 1) incidentally demonstrated an incomplete right bundle branch block along with 1.5 mm ST segment elevations with descent into inverted T waves in leads V1 and V2.
The patient's ECG on hospital day 2 after he had been treated with intravenous antibiotics and had defervesced. The ECG demonstrates minor ST changes but resolution of the findings seen up on admission.
CRM2009-492031.002.jpg
PMC2801527_01_CRM2009-492031.002.jpg
fig2
A subsequent ECG on hospital day 2 (Figure 2), when the patient was afebrile, demonstrated resolution of the previously seen electrocardiographic findings and restoration of a regular sinus bradycardia.