title: Brugada syndrome presenting as an acute coronary syndrome.
abstract: Syncope, non-specific ST-segment alterations and elevated troponin (cTn) are suspicious of an acute coronary syndrome (ACS). While an ACS is excluded when the coronary angiogram returns normal, the raised cTn should prompt a search for other potentially lethal diseases, such as pulmonary embolism, myocarditis or malignant ventricular arrhythmias. Here we describe a 42-year-old man presenting with syncope, ST-segment elevation, cTn rise and a normal angiogram. He was ultimately diagnosed with Brugada syndrome.
authors.affiliation: Department of Cardiology, Heilig Hartziekenhuis, Roeselare, Belgium.
authors.forename: Ian
authors.initials: I
authors.lastname: Buysschaert
authors.forename: Rudy
authors.initials: R
authors.lastname: De Rybel
authors.forename: Karl
authors.initials: K
authors.lastname: Dujardin
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis*; D000328:Adult; D053840:Brugada Syndrome / Q000175:diagnosis* / Q000503:physiopathology; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D008297:Male; D046948:Secologanin Tryptamine Alkaloids; D014665:Vasodilator Agents
chemical_list: D046948:Secologanin Tryptamine Alkaloids; D014665:Vasodilator Agents; C005709:raubasine