Why the study?
The electrocardiogram pattern of Brugada syndrome can sometimes be confused with ST elevation myocardial ischemia.
Brugada syndrome ECG patterns can mimic ST-elevation myocardial infarction, requiring careful evaluation to rule out acute coronary syndrome and ensure appropriate management with an ICD.
Answers are grounded in this paper and cite their sources.
Brugada-like ECG in chest pain requires ischemia exclusion; single case leaves open standardized differentiation protocols.
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.
No takes yet. Share an insight, caveat, or question.
Castro et al. (2020) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: