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Covid-19 Primary Care Resources

Brugada syndrome or Long QT syndrome

The care pathway is dependent on whether the patient has an ICD

This information is sourced from the British Heart Foundation (BHF) and the Association of Inherited Cardiac Conditions (AICC) :

  • Patients with Brugada syndrome or Long QT syndrome have a potential for increased risk of arrhythmia during fever
  • All patients should self-treat with paracetamol immediately if they develop signs of fever
  • The care pathway is dependent upon whether the patient has an Implantable cardioverter defibrillator (ICD) or not
  • Patients with an ICD, who are free of symptoms of arrhythmia during fever, have less potential benefit from going to hospital for monitoring with the risks of COVID-19 exposure and infection being greater
  • Patients without an ICD who develop a persistent high fever (>38.5C) despite paracetamol need ECG monitoring and should be referred to cardiology