Right bundle branch block and coved-type ST-segment elevation mimicked by acute cholecystitis.
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.
Furuhashi
Masato
M
Second Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan. furuhasi@sapmed.ac.jp
Uno
Kikuya
K
Satoh
Shin-Ichiro
S
Hoshikawa
Kohki
K
Sakai
Eiji
E
Tsuchihashi
Kazufumi
K
Shimamoto
Kazuaki
K
D000368:Aged; D002037:Bundle-Branch Block / Q000175:diagnosis*; D041881:Cholecystitis, Acute / Q000175:diagnosis* / Q000503:physiopathology*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D008012:Lidocaine / Q000008:administration & dosage / Q000031:analogs & derivatives*; D026941:Sodium Channel Blockers / Q000008:administration & dosage
D026941:Sodium Channel Blockers; D008012:Lidocaine; C042288:pilsicainide