Simultaneous ST-segment elevation in the right precordial and inferior leads in Brugada syndrome.
We report the case of a patient with genetically confirmed Brugada syndrome who presented with ST-segment elevation in the right precordial and inferior leads. The presenting arrhythmia was atrial fibrillation, which degenerated into ventricular fibrillation during intravenous amiodarone. A flecainide test was markedly positive. Four appropriate cardioverter-defibrillator discharges occurred during a two-year follow-up period after implantation of the device.
Lombardi
Federico
F
Cardiologia, Dipartimento di Medicina, Chirurgia e Odontoiatria, Ospedale San Paolo, University of Milan, Milan, Italy. Federico.Lombardi@unimi.it
Potenza
Sergio
S
Beltrami
Angelo
A
Verzoni
Alessandro
A
Brugada
Pedro
P
Brugada
Ramon
R
D000328:Adult; D001281:Atrial Fibrillation / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy; D053840:Brugada Syndrome / Q000150:complications / Q000235:genetics / Q000503:physiopathology*; D018389:Codon, Nonsense / Q000235:genetics; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D006329:Heart Conduction System / Q000503:physiopathology*; D006801:Humans; D008297:Male; D009124:Muscle Proteins / Q000235:genetics; D062554:NAV1.5 Voltage-Gated Sodium Channel; D015222:Sodium Channels / Q000235:genetics; D014693:Ventricular Fibrillation / Q000209:etiology / Q000503:physiopathology / Q000628:therapy
D018389:Codon, Nonsense; D009124:Muscle Proteins; D062554:NAV1.5 Voltage-Gated Sodium Channel; C568320:SCN5A protein, human; D015222:Sodium Channels