Brugada ECG phenocopy in hypertrophic cardiomyopathy: The time matter.

J Electrocardiol

Arrhythmologic Centre, Department of Cardiology, ASL4 Liguria, Lavagna, Italy; Department of Medicine, Surgery and Pharmacy, University of Sassari, Italy.

Published: March 2023

AI Article Synopsis

  • A 56-year-old man with no symptoms had an Implantable Cardioverter-Defibrillator (ICD) put in due to a Brugada pattern on his ECG and a family history of sudden cardiac death.
  • Seventeen years later, he was hospitalized for heart palpitations, which were found to be caused by atrial flutter.
  • During the hospitalization, an echocardiogram unexpectedly showed that he had developed hypertrophic cardiomyopathy.

Article Abstract

An Implantable Cardioverter-Defibrillator was implanted in an asymptomatic 56-year-old man, with type 2 Brugada pattern on ECG, inducible ventricular fibrillation at elective electrophysiological study, and a family history of sudden cardiac death. Seventeen years later, the patient was admitted to the hospital due to palpitations related to a typical atrial flutter. A transthoracic echocardiogram unexpectedly revealed a clinically manifest hypertrophic cardiomyopathy.

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Source
http://dx.doi.org/10.1016/j.jelectrocard.2022.11.006DOI Listing

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