Key result
Acute cholecystitis mimics a Brugada-type ST shift on ECG that resolves as inflammation subsides.
Case Report (n=1)
Acute cholecystitis can mimic a Brugada-type ST shift on ECG, which resolves with inflammation and can be reproduced by sodium channel blockade.
Consider cholecystitis in Brugada-like ECG differentials; single case leaves open prevalence, mechanisms, and generalizability.
A 69-year-old woman had acute cholecystitis that mimicked right bundle branch block with coved-type ST-segment elevation in the precordial electrocardiogram leads (Brugada-type ST shift). The patient did not have obvious heart disease, syncope, or a family history of sudden death. The coved-type ST-segment elevation disappeared as the acute inflammation subsided. Intravenous administration of pilsicainide, a pure sodium channel blocker, could reproduce the Brugada-type ST shift. This is the first report of the Brugada-type ST shift occurring in association with acute cholecystitis.
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Furuhashi et al. (2003) conducted a case report in Acute cholecystitis mimicking Brugada-type ST shift (n=1). Acute cholecystitis was evaluated on Electrocardiogram changes (Brugada-type ST shift). Acute cholecystitis can mimic a Brugada-type ST shift on electrocardiogram, which resolves as the acute inflammation subsides.
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