Brugada Pattern Mimicking Myocardial Acute Infarct

  • Ricardo L. De Castro Junior Western Michigan University – Homer Stryker M.D. School of Medicine – Kalamazoo (MI), USA
  • Neiberg de Alcantara Lima Western Michigan University – Homer Stryker M.D. School of Medicine – Kalamazoo (MI), USA
  • Stela Sampaio Vitorino Hospital Dr. Carlos Alberto Studart Gomes – Fortaleza (CE), Brazil

Abstract

Brugada syndrome (BrS) has been described as an arrhythmic disorder characterized by ST elevation with successive negative T wave in the right precordial leads. Patients are at risk for sudden cardiac death (SCD) due to ventricular fibrillation (VF). This specific electrocardiogram (ECG) pattern can sometimes be confused with ST elevation myocardial ischemia. This report shows a patient who presented with chest pain and had an ECG compatible with Brugada. An ischemic workup was performed, and acute coronary syndrome was ruled out. He had a final diagnosis of BrS and was discharged home after the placement of an automatic defibrillator.

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Published
14-04-2020
How to Cite
L. De Castro Junior, R., Alcantara Lima, N. de, & Sampaio Vitorino , S. (2020). Brugada Pattern Mimicking Myocardial Acute Infarct. JOURNAL OF CARDIAC ARRHYTHMIAS, 33(1), 29-33. Retrieved from https://jca.org.br/jca/article/view/3352
Section
Clinical Arrythmia