Key result
Exercise testing unmasked the Brugada phenotype (coved ST-segment elevation) in two asymptomatic men evaluated after the sudden death of a first-degree relative.
Case Report (n=2)
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May suggest exercise testing for Brugada screening in sudden-death families; leaves open its diagnostic utility pending validation.
Two largely asymptomatic men, a 36-year-old (patient A) and a 56-year-old (patient B), were evaluated following the sudden death of a first-degree relative. Both resting 12-lead electrocardiograms exhibited minor ST-segment elevation in V1 and 0.2 mV saddle-shaped ST-segment elevation in V2. During an exercise test, patient A developed 0.7 mV ST-segment elevation with coved pattern and T-wave inversion in V2 and ST-segment elevation and T-wave inversion in V3, at peak exertion …
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Papadakis et al. (2009) conducted a case report in Brugada phenotype (n=2). Exercise testing was evaluated on Unmasking of Brugada phenotype and ventricular arrhythmia. Exercise testing unmasked the Brugada phenotype (coved ST-segment elevation) in two asymptomatic men evaluated after the sudden death of a first-degree relative.
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