Ischemia-Induced Brugada Phenocopy.
A 65-year-old man with history of schizoaffective disorder was admitted with a suspicion for syncope. ECG changes consistent with type-1 Brugada pattern were noted on admission. A personal history of angina was reported but a family history of sudden cardiac death or ICD implantation was denied. A fixed perfusion defect and hypokinesis of the distal infero-lateral wall were reported on a pharmacological stress test prompting a coronary angiography. A stent was deployed across a 95% stenosis of the dominant mid right coronary artery with satisfactory results. Resolution of the Brugada type pattern was noted on ECGs repeated after the stenting.
Published In/Presented At
Agrawal, S., Stevens, S., Shirani, J., Garg, J., & Nanda, S. (2015). Ischemia-induced Brugada phenocopy. Journal Of Electrocardiology, 48(5), 815-817. doi:10.1016/j.jelectrocard.2015.07.007.
Medical Sciences | Medicine and Health Sciences
Department of Medicine, Cardiology Division