title: Ischemia-induced Brugada phenocopy.
abstract: A 65-year-old man with history of schizoaffective disorder was admitted with a suspicion for syncope. ECG changes consistent with type-1 Brugada pattern were noted on admission. A personal history of angina was reported but a family history of sudden cardiac death or ICD implantation was denied. A fixed perfusion defect and hypokinesis of the distal infero-lateral wall were reported on a pharmacological stress test prompting a coronary angiography. A stent was deployed across a 95% stenosis of the dominant mid right coronary artery with satisfactory results. Resolution of the Brugada type pattern was noted on ECGs repeated after the stenting.
authors.affiliation: Division of Cardiology, Department of Medicine, St. Luke's University Health Network, Bethlehem. Electronic address: SAHIL.AGRAWAL@SLUHN.ORG.
authors.forename: Sahil
authors.initials: S
authors.lastname: Agrawal
authors.affiliation: Division of Cardiology, Department of Medicine, St. Luke's University Health Network, Bethlehem.
authors.forename: Steven
authors.initials: S
authors.lastname: Stevens
authors.affiliation: Division of Cardiology, Department of Medicine, St. Luke's University Health Network, Bethlehem.
authors.forename: Jamshid
authors.initials: J
authors.lastname: Shirani
authors.affiliation: Division of Cardiology, Department of Medicine, Lehigh Valley Health Network, Allentown.
authors.forename: Jalaj
authors.initials: J
authors.lastname: Garg
authors.affiliation: Division of Cardiology, Department of Medicine, St. Luke's University Health Network, Bethlehem.
authors.forename: Sudip
authors.initials: S
authors.lastname: Nanda
mesh_terms: D000368:Aged; D053840:Brugada Syndrome / Q000145:classification / Q000175:diagnosis* / Q000209:etiology*; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods*; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000150:complications* / Q000175:diagnosis*