Simultaneous ST-segment elevation in inferior and precordial leads following ingestion of a lethal dose of desipramine: a novel Brugada-like EKG pattern.
The typical Brugada electrocardiographic (EKG) pattern includes ST-segment elevation in the right precordial leads (V1-V3) associated with right bundle branch block (rSR') like morphology. Recently, a Brugada-like EKG pattern with ST-segment elevation in inferior leads called the "Brugada variant" has been reported. We report a case of simultaneous typical and variant Brugada EKG patterns with ST-segment elevation in the inferior as well as the precordial leads following ingestion of a lethal dose of desipramine.
Sheikh
Mujeeb
M
The University of Toledo Medical Center, 3000 Arlington ave, Toledo, OH, 43614, USA.
Kanjwal
Khalil
K
Kasmani
Rahil
R
Chutani
Surendra
S
Maloney
James D
JD
D053840:Brugada Syndrome / Q000139:chemically induced* / Q000175:diagnosis; D002037:Bundle-Branch Block / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D003131:Combined Modality Therapy; D003891:Desipramine / Q000506:poisoning*; D018450:Disease Progression; D004562:Electrocardiography; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D013406:Suicide, Attempted
D003891:Desipramine