title: [Acute chest pain revealing a Brugada syndrome].
abstract: The aim of this case study was to evaluate electrocardiographic diagnosis of Brugada syndrome. Our study involved a 43-year old man of Indian origin coming for consultation due to acute chest pain. The patient suffered from untreated stage 2 hypertension and had a family history of sudden death (his father died at the age of 40 years). ECG showed an incomplete right bundle-branch block with descendant displacement of the ST segment dome-shaped at right precordial level; coronary angiography was normal, which led us to the diagnosis of type I Brugada syndrome. The patient underwent implantation of an implantable automatic defibrillator in Reunion Island and regular follow-up.
authors.affiliation: Service de Cardiologie, CHU Joseph Raseta Befelatanana, Antananarivo, Madagascar.
authors.forename: Rakotoniaina Masinarivo
authors.initials: RM
authors.lastname: Daniella
authors.affiliation: Service de Cardiologie, CHU Joseph Raseta Befelatanana, Antananarivo, Madagascar.
authors.forename: Rasolonjatovo
authors.initials: R
authors.lastname: Anjaramalala
authors.affiliation: Service des Urgences et Soins Intensifs en Cardiologie, CHU Joseph Raseta Befelatanana, Antananarivo, Madagascar.
authors.lastname: Ramiandrisoa
authors.affiliation: Service des Urgences et Soins Intensifs en Cardiologie, CHU Joseph Raseta Befelatanana, Antananarivo, Madagascar.
authors.forename: Raveloson
authors.initials: R
authors.lastname: Freddie
authors.affiliation: Service des Urgences et Soins Intensifs en Cardiologie, CHU Joseph Raseta Befelatanana, Antananarivo, Madagascar.
authors.forename: Rakotoarimanana
authors.initials: R
authors.lastname: Solofonirina
authors.affiliation: Service de Cardiologie, CHU Joseph Raseta Befelatanana, Antananarivo, Madagascar.
authors.forename: Rabearivony
authors.initials: R
authors.lastname: Nirina
mesh_terms: D000208:Acute Disease; D000328:Adult; D053840:Brugada Syndrome / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D002037:Bundle-Branch Block / Q000175:diagnosis*; D002637:Chest Pain / Q000209:etiology*; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D006801:Humans; D008297:Male
keywords: Brugada syndrome; Chest pain; sudden death