Case Presentation A 71-year-old man, married and father of five children, with no known cardiovascular risk factors, no significant past medical history, and no family history of sudden cardiac death, presented with a two-day history of confusion associated with general deterioration, chills, and symptoms suggestive of fever, along with dysuria raising suspicion of a urinary tract infection. He denied chest pain, palpitations, syncope, or presyncope.
Initial Clinical Examination Glasgow Coma Scale (GCS): 14/15 Temperature: 36.8°C Blood pressure: 100/60 mmHg Heart rate: 98 bpm Oxygen saturation: 95% on room air Rest of physical examination: unremarkable Electrocardiogram (ECG) Findings Regular sinus rhythm (~95 bpm) Normal axis Right bundle branch block pattern in leads V1–V2 R′ wave >2 mm Saddleback ST-segment elevation Features consistent with Type 2 Brugada pattern No conversion to…
