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True Right Bundle Branch Block Masking the Typical ECG in Brugada Syndrome
Author(s) -
ROLF SASCHA,
HAVERKAMP WILHELM,
ECKARDT LARS
Publication year - 2005
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2005.09476.x
Subject(s) - medicine , brugada syndrome , right bundle branch block , cardiology , bundle branch block , precordial examination , electrocardiography , sudden cardiac death
A patient with a family history of sudden cardiac death and a structurally normal heart presented with a resting ECG intermittently displaying a saddle‐type Brugada‐ECG, which could be reproducibly converted to a coved‐type ECG pattern suggestive of Brugada syndrome. However, no ST‐segment changes occurred in the presence of a true right bundle branch block (RBBB) in the same patient. In consideration of the inalienable diagnostic criterion of dynamic ECG abnormalities in the right precordial leads in Brugada syndrome, setting the diagnosis in patients with true RBBB may be unattainable.