SCN5A gene mutations can lead to ion channel defects which can cause cardiac conduction disturbances.In the presence of specific ECG characteristics, this mutation is called Brugada Headphone Lead syndrome.Many drugs are associated with adverse events, making anesthesia in patients with SCN5A gene mutations or Brugada syndrome challenging.
In this case report, we describe a pregnant patient with this Sofa Cushions mutation who received epidural analgesia using low dose ropivacaine and sufentanil during labour.