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Case presentation of acute ischemia induced ST-depression masking Brugada syndrome ECG pattern in a relatively young patient

Torngren, Kristina LU ; Savelev, Aleksei LU orcid ; Ljungström, Erik and Platonov, Pyotr G. LU (2025) In Journal of Electrocardiology 88.
Abstract

ECG in Brugada syndrome (BrS) is characterized by a ST-segment elevation in the right precordial leads. Overlap between ST-segment changes in BrS and ischemia may lead to diagnostic challenges. We report a case of a male patient presented with recurrent chest pain episodes and ST elevation in the right precordial leads consistent with Brugada ECG pattern type 1 and was clinically diagnosed with BrS at the age of 30 years. During follow up the patient developed acute myocardial infarction with pronounced ST depression in the right precordial leads, masking the Brugada pattern of the baseline ECG.

Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Brugada syndrome, case report, myocardial infarction, young patient
in
Journal of Electrocardiology
volume
88
article number
153853
publisher
Elsevier
external identifiers
  • pmid:39700779
  • scopus:85212329993
ISSN
0022-0736
DOI
10.1016/j.jelectrocard.2024.153853
language
English
LU publication?
yes
id
7e7662e1-cc55-4a95-8459-4832e69043d2
date added to LUP
2025-02-28 12:10:27
date last changed
2025-07-04 23:19:21
@article{7e7662e1-cc55-4a95-8459-4832e69043d2,
  abstract     = {{<p>ECG in Brugada syndrome (BrS) is characterized by a ST-segment elevation in the right precordial leads. Overlap between ST-segment changes in BrS and ischemia may lead to diagnostic challenges. We report a case of a male patient presented with recurrent chest pain episodes and ST elevation in the right precordial leads consistent with Brugada ECG pattern type 1 and was clinically diagnosed with BrS at the age of 30 years. During follow up the patient developed acute myocardial infarction with pronounced ST depression in the right precordial leads, masking the Brugada pattern of the baseline ECG.</p>}},
  author       = {{Torngren, Kristina and Savelev, Aleksei and Ljungström, Erik and Platonov, Pyotr G.}},
  issn         = {{0022-0736}},
  keywords     = {{Brugada syndrome; case report; myocardial infarction; young patient}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Electrocardiology}},
  title        = {{Case presentation of acute ischemia induced ST-depression masking Brugada syndrome ECG pattern in a relatively young patient}},
  url          = {{http://dx.doi.org/10.1016/j.jelectrocard.2024.153853}},
  doi          = {{10.1016/j.jelectrocard.2024.153853}},
  volume       = {{88}},
  year         = {{2025}},
}