Brugada syndrome unmasked by accidental inhalation of gasoline vapors

Pacing Clin Electrophysiol. 2007 Oct;30(10):1294-8. doi: 10.1111/j.1540-8159.2007.00857.x.

Abstract

Loss-of-function mutations in the gene SCN5A can cause Brugada syndrome (BrS), which is an inherited form of idiopathic ventricular fibrillation. We report the case of a 46-year-old patient, with no previous medical history, who had ventricular fibrillation after accidental inhalation of gasoline vapors. His electrocardiogram (ECG) showed a typical type-1 BrS pattern that persisted after the acute event. Genetic investigations allowed the identification of a novel SCN5A mutation leading to a frame-shift and early termination of the channel protein. Biochemical and cellular electrophysiology experiments confirmed the loss-of-function of the mutant allele. The patient was implanted with a cardioverter/defibrillator.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents, Occupational*
  • Atrial Fibrillation / chemically induced
  • Brugada Syndrome / diagnosis*
  • Brugada Syndrome / genetics
  • Gasoline / poisoning*
  • Humans
  • Inhalation
  • Male
  • Middle Aged

Substances

  • Gasoline