Acute Myocardial Infarction Masked by Brugada Syndrome: A Case Report
Authors: Alicia Mateo Martinez, Rocio Cortes Sanchez, Javier Lacunza-Ruiz, Jose Maria Lopez Ayala
Journal: Annals of Internal Medicine (2017)

Letters21 March 2017Acute Myocardial Infarction Masked by Brugada Syndrome: A Case ReportAlicia Mateo Martinez, MD, Rocio Cortes Sanchez, MD, Javier Lacunza-Ruiz, MD, and Jose Maria Lopez Ayala, MD, PhDAlicia Mateo Martinez, MDFrom Los Arcos del Mar Menor University Hospital, Murcia, Spain; Virgen de la Arrixaca University Hospital, Murcia, Spain; and Imperial College London, Hammersmith Hospital, London, United Kingdom.Search for more papers by this author, Rocio Cortes Sanchez, MDFrom Los Arcos del Mar Menor University Hospital, Murcia, Spain; Virgen de la Arrixaca University Hospital, Murcia, Spain; and Imperial College London, Hammersmith Hospital, London, United Kingdom.Search for more papers by this author, Javier Lacunza-Ruiz, MDFrom Los Arcos del Mar Menor University Hospital, Murcia, Spain; Virgen de la Arrixaca University Hospital, Murcia, Spain; and Imperial College London, Hammersmith Hospital, London, United Kingdom.Search for more papers by this author, and Jose Maria Lopez Ayala, MD, PhDFrom Los Arcos del Mar Menor University Hospital, Murcia, Spain; Virgen de la Arrixaca University Hospital, Murcia, Spain; and Imperial College London, Hammersmith Hospital, London, United Kingdom.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L16-0455 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Brugada syndrome is characterized by abnormal findings on electrocardiography and an increased risk for sudden cardiac death (1). The distinctive electrocardiographic finding is a coved ST-segment elevation in V1 to V3 that is more than 2 mm high followed by a negative T wave, although other findings have been reported. Ventricular tachycardia and fibrillation are the mechanisms for sudden cardiac death, which occurs more frequently in men (especially those in their early 40s) and perhaps in persons from Asia. Brugada syndrome is believed to be a genetic disorder because it also occurs more frequently in some families and because ...References1. Fowler SJ, Priori SG. Clinical spectrum of patients with a Brugada ECG. Curr Opin Cardiol. 2009;24:74-81. [PMID: 19102039] CrossrefMedlineGoogle Scholar2. Priori SG, Wilde AA, Horie M, Cho Y, Behr ER, Berul C, et al. HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes: document endorsed by HRS, EHRA, and APHRS in May 2013 and by ACCF, AHA, PACES, and AEPC in June 2013. Heart Rhythm. 2013;10:1932-63. [PMID: 24011539] doi:10.1016/j.hrthm.2013.05.014 CrossrefMedlineGoogle Scholar3. Wang K, Asinger RW, Marriott HJ. ST-segment elevation in conditions other than acute myocardial infarction. N Engl J Med. 2003;349:2128-35. [PMID: 14645641] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Los Arcos del Mar Menor University Hospital, Murcia, Spain; Virgen de la Arrixaca University Hospital, Murcia, Spain; and Imperial College London, Hammersmith Hospital, London, United Kingdom.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L16-0455. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 21 March 2017Volume 166, Issue 6Page: 449-450KeywordsAcute myocardial infarctionAngiographyAngioplastyArteriesElectrocardiographyGenetic diseasesIschemiaLesionsStent implantationSudden cardiac death ePublished: 21 March 2017 Issue Published: 21 March 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...