British Journal of Sports Medicine 2007;41:180-181
CASE REPORT
Syncope due to Brugada syndrome in a young athlete
1 Medical Department, Otto-von-Guericke University, Magdeburg, Germany
2 Department of Training Sciences, Philipps University, Marburg, Germany
3 Department of Sports, Martin Luther University, Halle-Wittenburg, Germany
Correspondence to:
Dr H D Esperer
Medical Department, Otto von Guericke University, Magdeburg 39130, Germany; esperer{at}medizin.uni-magdeburg.de
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.
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