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Complex mechanism of brugada phenocopy: moderate hyponatremia and right ventricular compression by liver metastatic tumor - case report.
Wiad Lek
September 2024
DEPARTMENT OF INTERNAL MEDICINE, JÓZEF STRUŚ HOSPITAL, POZNAŃ, POLAND.
Article Synopsis
- - Brugada phenocopy (BrP) is characterized by a Brugada-like ECG pattern and can occur due to various conditions, but it doesn't increase the risk of serious heart issues like Brugada syndrome (BrS) does.
- - A case is presented of a 69-year-old woman with moderate hyponatremia who exhibited a saddle-back ST-segment elevation on her ECG, which was linked to her liver metastases compressing her heart.
- - The ECG changes resolved quickly after treating her hyponatremia with sodium chloride, demonstrating that even mild electrolyte imbalances can lead to BrP when compounded by other factors like mechanical heart compression.
Pilsicainide Toxicity-Induced Brugada-Like ST Segment Elevation and Increased Pacing Voltage Threshold.
Cureus
January 2024
Department of Cardiology, Japan Community Healthcare Organization Osaka Hospital, Osaka, JPN.
Pilsicainide is a class Ic antiarrhythmic agent that exhibits fully selective sodium channel blockade. In Japan, it is one of the most prescribed medicines for rhythm control in atrial fibrillation. Pilsicainide is mainly excreted by the kidney.
View Article and Find Full Text PDFHeat Stroke-Induced Takotsubo Cardiomyopathy With a Concomitant Transient Brugada-Like Electrocardiogram.
Cureus
July 2023
Cardiovascular Surgery, Nagoya City University East Medical Center, Nagoya, JPN.
A 79-year-old man presented with impaired consciousness, fever with a body temperature of 41.1°C, and an electrocardiogram showing significant ST segment elevation in leads V1-6, coved-type ST elevation in leads V1-3, and partial right bundle branch block. Echocardiography revealed notable left ventricle dysfunction with apex-based akinesis.
View Article and Find Full Text PDFBrugada phenocopy in pulmonary embolism - clinicopathological case study and literature review.
Pol Merkur Lekarski
December 2022
Józef Struś Hospital, Poznań, Poland: Department of Internal Medicine.
Brugada syndrome (BrS) is an inherited channelopathy characterized on ECG by coved (type 1) or saddle-back (type 2) ST-segment elevation (STE) of 2 or more mm in the right precordial leads and is associated with an increased risk of malignant ventricular arrhythmias. The term Brugada phenocopy (BrPh) indicates conditions that may reversibly induce Brugada-like ECG pattern in patients without true BrS; e.g.
View Article and Find Full Text PDFPropofol associated Brugada - like coved type electrogardiogram in a trauma patient with a fatal outcome.
Acta Cardiol
June 2019
a Second University Department of Critical Care, Attikon University Hospital, Athens , Greece.
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