Brugada syndrome presenting as an acute coronary syndrome.
Ian Buysschaert, Rudy De Rybel, Karl Dujardin
Index: Acta Cardiol. 68(5) , 521-3, (2013)
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Abstract
Syncope, non-specific ST-segment alterations and elevated troponin (cTn) are suspicious of an acute coronary syndrome (ACS). While an ACS is excluded when the coronary angiogram returns normal, the raised cTn should prompt a search for other potentially lethal diseases, such as pulmonary embolism, myocarditis or malignant ventricular arrhythmias. Here we describe a 42-year-old man presenting with syncope, ST-segment elevation, cTn rise and a normal angiogram. He was ultimately diagnosed with Brugada syndrome.
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