Unusual Presentation of a Common Diagnosis in a Patient With Chronic Kidney Disease

Abstract

This case report describes a patient in their 40s with chronic kidney disease who presented to the emergency department with acute-onset breathlessness for 2 hours.

Brugada Pattern, Tall Peaked T Waves, Absence of P Waves, and Broad QRS Complexes

“…There have been reports of BrP for several clinical circumstances, such as hyperkalemia (as with the present patient), hypokalemia, coronary ischemia, mechanical compression (pectus excavatum, mediastinal tumors), acute pulmonary embolism, fever, and myocardial and pericardial disease (acute myocarditis and pericarditis) . The most common cause of BrP described in the literature is hyperkalemia . Moreover, in patients with severe hyperkalemia, a BrP ECG is associated with a high prevalence of malignant arrhythmias (40%) and all-cause mortality (43%) .…”