Abstract:
:Brugada phenocopies are clinical entities characterized by electrocardiographic patterns that are identical to true Brugada syndrome, but are elicited by a number of clinical circumstances. ECG normalizes upon resolution of underlying condition, family history of arrhythmic syncope or ventricular arrhythmias is strictly absent and provocative tests with sodium channel blockers have to be negative. We describe herein the case of type-2 ECG Brugada pattern in a patient with acute pulmonary embolism presenting with recurrent syncope but negative provocative test with sodium channel blockers. Transthoracic echocardiography and transcranial Doppler did not show atrial septal defect. In conclusion, to the best of our knowledge no other cases excluded atrial septal defect and paradoxical embolism as a possible cause of acute pulmonary embolism related Type-2 Brugada ECG pattern. Therefore in our case right ventricle transmural myocardial ischemia due to acute pulmonary embolism, mainly secondary to right ventricle stretch, could explain Brugada ECG pattern.
journal_name
J Electrocardioljournal_title
Journal of electrocardiologyauthors
Lippolis A,Buzzi MP,Romano IJ,Facchini C,Gentile Fdoi
10.1016/j.jelectrocard.2019.04.003subject
Has Abstractpub_date
2019-01-01 00:00:00pages
90-92eissn
0022-0736issn
1532-8430pii
S0022-0736(19)30217-1journal_volume
54pub_type
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