title: Sudden cardiac death with left main coronary artery occlusion in a patient whose presenting ECG suggested Brugada syndrome.
abstract: This article describes a patient who died suddenly during Holter ECG monitoring. A ventricular premature systole with an extremely short coupling interval of 240 ms was immediately followed by torsades de pointes, soon degenerating into ventricular fibrillation. Retrospective survey of the patient's medical records revealed an incomplete right bundle branch block (iRBBB) configuration with fluctuating saddle back-type ST elevation in leads V1 and V2, these suggesting Brugada syndrome. Autopsy showed complete thrombotic occlusion of the left main coronary artery.
authors: Division of Clinical Laboratory Medicine, Fujita Health University, Toyoake, Aichi, Japan. thata@fujita-hu.ac.jp
authors: Tadayoshi
authors: T
authors: Hata
authors: Yoshio
authors: Y
authors: Watanabe
authors: Yoko
authors: Y
authors: Hata
authors: Hatsue
authors: H
authors: Fukami
authors: Makoto
authors: M
authors: Kuroda
mesh_terms: D002037:Bundle-Branch Block / Q000150:complications*; D003328:Coronary Thrombosis / Q000150:complications*; D016757:Death, Sudden, Cardiac / Q000209:etiology*; D015716:Electrocardiography, Ambulatory; D006801:Humans; D008297:Male; D008875:Middle Aged; D013577:Syndrome