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CARDIOVASCULAR JOURNAL OF AFRICA • Vol 24, No 2, March 2013
AFRICA
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In these two cases, the occurrence of both ST-segment and
T-wave alternans in the right precordial leads was observed
during the recovery phase from febrile states, rather than at peak
hyperthermia, without associated ventricular arrhythmias. In this
regard, the cellular mechanism of ST–T-wave alternans may be
related to incomplete recovery of the ionic current balance, and
these kinds of alternans in Brugada electrocardiogram may be
regarded as normal during the recovery phase from febrile states.
Electrophysiology may be useful for the diagnosis of Brugada
syndrome and risk stratification of individuals with a Brugada
electrocardiogram. This was not done in these two cases.
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