open access

Vol 16, No 4 (2021)
Case report
Published online: 2021-08-31
Get Citation

Syncope and electrocardiographic suspicion of acute anterior ST-elevation myocardial infarction — think about Brugada syndrome!

Małgorzata Wojciechowska1, Karolina Rybak1, Maciej Zarębiński2, Łukasz Pastwa3, Agnieszka Cudnoch-Jędrzejewska1
DOI: 10.5603/FC.2021.0039
·
Folia Cardiologica 2021;16(4):259-262.
Affiliations
  1. Department of Experimental and Clinical Physiology, Laboratory of Centre for Preclinical Research, Medical University of Warsaw, Warsaw, Poland, Poland
  2. Independent Public Specialist Western Hospital John Paul II, Invasive Cardiology Unit, Grodzisk Mazowiecki, Poland, Poland
  3. Independent Public Specialist Western Hospital John Paul II, Cardiology Unit, Grodzisk Mazowiecki, Poland

open access

Vol 16, No 4 (2021)
Case Reports
Published online: 2021-08-31

Abstract

This is a case of 52-year-old male after episode of syncope and with atypical chest pain referred to hospital with acute anterior ST elevation myocardial infarction. Urgent coronary angiography showed normal coronary arteries and only ECG made the next day made us to suspect Brugada syndrome. The patient had ICD implanted and because of high defibrillation threshold, subcutaneous electrode implantation was decided. Our case highlights, that ECG changes in Brugada syndrome can mimic ST elevation in the course of acute coronary syndrome and that subcutaneous electrode implantation may be useful method of lowering defibrillation treshold.

Abstract

This is a case of 52-year-old male after episode of syncope and with atypical chest pain referred to hospital with acute anterior ST elevation myocardial infarction. Urgent coronary angiography showed normal coronary arteries and only ECG made the next day made us to suspect Brugada syndrome. The patient had ICD implanted and because of high defibrillation threshold, subcutaneous electrode implantation was decided. Our case highlights, that ECG changes in Brugada syndrome can mimic ST elevation in the course of acute coronary syndrome and that subcutaneous electrode implantation may be useful method of lowering defibrillation treshold.

Get Citation

Keywords

Brugada syndrome, cardioverter-defibrillator implantation, defibrillation threshold, subcutaneous electrode

About this article
Title

Syncope and electrocardiographic suspicion of acute anterior ST-elevation myocardial infarction — think about Brugada syndrome!

Journal

Folia Cardiologica

Issue

Vol 16, No 4 (2021)

Article type

Case report

Pages

259-262

Published online

2021-08-31

DOI

10.5603/FC.2021.0039

Bibliographic record

Folia Cardiologica 2021;16(4):259-262.

Keywords

Brugada syndrome
cardioverter-defibrillator implantation
defibrillation threshold
subcutaneous electrode

Authors

Małgorzata Wojciechowska
Karolina Rybak
Maciej Zarębiński
Łukasz Pastwa
Agnieszka Cudnoch-Jędrzejewska

References (8)
  1. Brugada J, Campuzano O, Arbelo E, et al. Present status of Brugada syndrome: JACC state-of-the-art review. J Am Coll Cardiol. 2018; 72(9): 1046–1059.
  2. Dybich P, Bąkowski D, Wożakowska-Kapłon B. [Syncope in male — let us think about Brugada syndrome! Presentation of 3 cases] [Article in Polish]. Kardiol Pol. 2010; 68(12): 1397–400; discussion 1401.
  3. Rattanawong P, Vutthikraivit W, Charoensri A, et al. Fever-induced Brugada syndrome is more common than previously suspected: a cross-sectional study from an endemic area. Ann Noninvasive Electrocardiol. 2016; 21(2): 136–141.
  4. Nademanee K, Hocini M, Haïssaguerre M. Epicardial substrate ablation for Brugada syndrome. Heart Rhythm. 2017; 14(3): 457–461.
  5. Priori SG, Blomström-Lundqvist C, Mazzanti A, et al. Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: the Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Eur Heart J. 2015; 36(41): 2793–2867.
  6. Hayase J, Do DH, Boyle NG. Defibrillation threshold testing: current status. Arrhythm Electrophysiol Rev. 2018; 7(4): 288–293.
  7. Jacob S, Pidlaoan V, Singh J, et al. High defibrillation threshold: the science, signs and solutions. Indian Pacing Electrophysiol J. 2010; 10(1): 21–39.
  8. Kempa M, Lubiński A, Wilczek R, et al. Zastosowanie podskórnej elektrody defibrylującej w celu obniżenia progu defibrylacji migotania komór u pacjentów z ICD. Folia Cardiol. 2004; 11(6): 463–470.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

 

Wydawcą serwisu jest  "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl