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Syncope due to Brugada syndrome in a young athlete
  1. Hans D Esperer1,
  2. Olaf Hoos2,
  3. Kuno Hottenrott3
  1. 1Medical Department, Otto-von-Guericke University, Magdeburg, Germany
  2. 2Department of Training Sciences, Philipps University, Marburg, Germany
  3. 3Department of Sports, Martin Luther University, Halle-Wittenburg, Germany
  1. Correspondence to:
 Dr H D Esperer
 Medical Department, Otto von Guericke University, Magdeburg 39130, Germany; esperer{at}medizin.uni-magdeburg.de

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.

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Footnotes

  • Competing interests: None.

  • Published Online First 29 November 2006

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