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Acute Pericarditis Unmasks ST‐Segment Elevation in Asymptomatic Brugada Syndrome
Author(s) -
KURISU SATOSHI,
INOUE ICHIRO,
KAWAGOE TAKUJI,
ISHIHARA MASAHARU,
SHIMATANI YUJI,
MITSUBA NAOYA,
HATA TAKAKI,
NAKAMA YASUHARU,
KIJIMA YASUFUMI,
KISAKA TOMOHIKO
Publication year - 2006
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.1540-8159.2006.00318.x
Subject(s) - medicine , brugada syndrome , st elevation , pericarditis , asymptomatic , acute pericarditis , st segment , cardiology , ventricular fibrillation , atrial fibrillation , acute coronary syndrome , electrocardiography , myocardial infarction
A 26‐year‐old man was admitted to our hospital because of acute pericarditis. The current patient had a saddle‐back type ST‐segment elevation shortly after the onset of acute pericarditis. Interestingly, it converted into a coved type ST‐segment elevation, subsequently regressed gradually as acute inflammation improved. After 3 months, right ventricular rapid pacing induced ventricular fibrillation, and intravenous sodium channel blocker induced a coved type ST‐segment elevation. The current case implies that a Brugada‐type ST‐segment elevation, which is thought to be false in acute pericarditis, may be true in some patients with asymptomatic Brugada syndrome.