Case Report

An Electrocardiographic Triple Rhythm Of Sinus Arrhythmia, Brugada Syndrome, And Early Repolarization With A Diverse Outcome

Yasser Mohammed Hassanain Elsayed
Critical Care Unit, Fraskour Central Hospital, Damietta Health Affairs, Egyptian Ministry of Health (MOH), Damietta, Egypt

Worldwide Medicine 2019; 1(9): 303-306 | DOI: 10.5455/ww.73149      PDF


Abstract


Rationale: Physicians can find several rhythms in the same electrocardiogram. Verification for each rhythm is very important for management. Patient concerns: A 22-year-old single Egyptian male student patient presented with recurrent palpitations. Snoring and familial sudden death were predominant. Diagnosis: The triple rhythm of sinus arrhythmia, type II Brugada syndrome, and early repolarization pattern. Interventions: Electrocardiography and echocardiography. Outcomes: Physiological, serious, and more serious are more suggested serially outcomes in each rhythm. Lessons: Rhythm differentiation will be essential for the clinician and cardiologist for the right management.

Keywords: Electrocardiographic triple rhythm, sinus arrhythmia, Brugada syndrome, early repolarization pattern, variable outcome