An Unusual Case of Brugada Syndrome in an 82-Year Old Black Hypertensive Man

• DOI: 10.31487/j.jicoa.2020.03.07
• Publication Date: 2020-09-11T03:54:28Z
• Authors: Shogade T.T; Shogade T.T; A.A. Akpabio; F.E. Markson; F.O. Sogade
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

Rationale: Brugada syndrome (BrS) is a cardiac ion channel disease that is caused by an autosomal dominant genetic abnormality. It is frequently seen among young and middle-aged adults of Asian descent and rarely in blacks. Patient Concerns: We report an extremely rare case of an 82-year-old male known hypertensive with poor drug compliance, who suffered recurrent palpitations and pre-syncope. His electrocardiogram showed an unusual right bundle branch block with coved ST segment elevation in leads V1-V3. Diagnoses: The patient was eventually diagnosed with Brugada Syndrome with background hypertensive heart disease. He could not have genetic testing due to unavailability and cost. Interventions: The patient was treated with antihypertensives but could not afford a device implant. He was counseled to avoid risk factors such as fever, extreme physical and emotional exertions etc. Outcomes: At his last clinic visit two months post diagnosis he still had similar symptoms but no syncope nor sudden cardiac arrest. Lessons: To the best of our knowledge, this is possibly the first reported case of BrS in an elderly African with hypertensive heart disease.