Acute pericarditis unmasks ST-segment elevation in asymptomatic Brugada syndrome.
A 26-year-old man was admitted to our hospital because of acute pericarditis. The current patient had a saddle-back type ST-segment elevation shortly after the onset of acute pericarditis. Interestingly, it converted into a coved type ST-segment elevation, subsequently regressed gradually as acute inflammation improved. After 3 months, right ventricular rapid pacing induced ventricular fibrillation, and intravenous sodium channel blocker induced a coved type ST-segment elevation. The current case implies that a Brugada-type ST-segment elevation, which is thought to be false in acute pericarditis, may be true in some patients with asymptomatic Brugada syndrome.
Department of Cardiology, Hiroshima City Hospital, Hiroshima, Japan. skurisu@nifty.com
Satoshi
S
Kurisu
Ichiro
I
Inoue
Takuji
T
Kawagoe
Masaharu
M
Ishihara
Yuji
Y
Shimatani
Naoya
N
Mitsuba
Takaki
T
Hata
Yasuharu
Y
Nakama
Yasufumi
Y
Kijima
Tomohiko
T
Kisaka
D000208:Acute Disease; D000328:Adult; D002037:Bundle-Branch Block / Q000175:diagnosis* / Q000503:physiopathology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D022062:Electrophysiologic Techniques, Cardiac; D006801:Humans; D008297:Male; D010493:Pericarditis / Q000175:diagnosis* / Q000503:physiopathology; D013577:Syndrome