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Case report
Getting to the heart of the matter: investigating the idiopathic sudden cardiac death of a previous well soldier
  1. Leanne Jane Eveson1,2,
  2. A T Cox1,3,
  3. H Dhutia3,
  4. B Ensem3,
  5. E Behr4 and
  6. S Sharma3
  1. 1 Royal Centre Defence Medicine, Defence Medical Services, Lichfield, UK
  2. 2 Cardiology, Royal Brompton Hospital, London, UK
  3. 3 St George's University of London, London, UK
  4. 4 Cardiology, 3. St George’s, University of London, London, UK
  1. Correspondence to Dr Leanne Jane Eveson,Royal Centre Defence Medicine, Defence Medical Services, Lichfield, UK; leanne.eveson{at}doctors.org.uk

Abstract

A 25-year-old infantry soldier, who was previously fit and well, had a cardiac arrest while undertaking an advanced fitness test. Despite early cardiopulmonary resuscitation by colleagues and the emergency services, he was later pronounced dead. A postmortem performed by an expert pathologist and a toxicology screen were normal and the death was attributed to sudden arrhythmic death syndrome (SADS). Screening of his family in our Inherited Cardiac Conditions clinic identified Brugada syndrome (BrS) in two first-degree relatives. This case generates discussion on sudden cardiac death, family screening in SADS, BrS and the limitations of recruit screening with an ECG.

  • Brugada
  • AED
  • CPR
  • recruit screening
  • family screening

https://doi.org/10.1136/jramc-2018-001103

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    Footnotes

    • Contributors All authors were involved in the conception of the case report, interpretation of data, drafting the report and critically revising it.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.