Acute myocardial infarction (AMI) is one of the most alerting situations in emergency department. Electrocardiogram (ECG) is one of the most important diagnostic tools and the decision about thrombolytic therapy is usually based upon ECG findings when clinically suspicious. However, ST segment elevation is not always equivalent to acute myocardial infarction. We present a rare syndrome whose ECG shows persistent ST elevation not related to AMI.
BrugadaP., BrugadaJ.Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome. A multicenter report.J Am Coll Cardiol1992; 20(6): 1391–6.
2.
BrugadaP., BrugadaJ.Further characterization of the syndrome of right bundle branch block, ST segment elevation and sudden cardiac death.J Cardiovasc Electrophysiol1997; 8(3): 325–31.
CorradoD., NavaA., BujaG.Familial cardiomyopathy underlies syndrome of right bundle branch block, ST segment elevation and sudden death.J Am Coll Cardiol1996; 27: 443–8.
5.
TakenakaS., EmoriT., KoyamaS., MoritaH., FukushimaK., OheT.Asymptomatic form of Brugada syndrome.Pacing Clin Electrophysiol1999; 22(8): 1261–3.
6.
NademaneeK., VeerakulG., NimmannitS.Arrhythmogenic marker for the sudden unexplained death syndrome in Thai men.Circulation1997; 96(8): 2595–600.
7.
KasanukiH., OhnishiS., OhtukaM.Idiopathic ventricular fibrillation induced with vagal activity in patients without obvious heart disease.Circulation1997; 95(9): 2277–85.
8.
AlingsM., WildeA.“Brugada” syndrome: clinical data and suggested pathophysiological mechanism.Circulation1999; 9(5): 666–73.
9.
MiyazakiT., MitamuraH., MiyoshiS., SoejimaK., AizamaY., OgawaS.Autonomic and antiarrhythmic drug modulation of ST segment elevation in patients with Brugada syndrome.J Am Coll Cardiol1996; 27(5): 1061–70.
10.
MatsuoK., KuritaT., InagakiM.The circadian pattern of the development of ventricular fibrillation in patients with Brugada syndrome.Eur Heart J1999; 20(6): 465–70.
11.
NomuraM., NadaT., EndoJ.Brugada syndrome associated with an autonomic disorder.Heart1998; 80(2): 194–6.
12.
ChenQ., KirschG.E., ZhangD.Genetic basis and molecular mechanism for idiopathic ventricular fibrillation.Nature1998; 392(6673): 293–6.
13.
BrugadaJ., BrugadaR., BrugadaP.Right bundle-branch block and ST-segment elevation in leads V1 through V3: a marker for sudden death in patients without demonstrable structural heart disease.Circulation1998; 97(5): 457–60.
14.
KrishnanS.C., JosephsonM.E.ST segment elevation induced by class IC antiarrhythmic agents: underlying electrophysiologic mechanisms and insights into drug-induced proarrhythmia.J Cardiovasc Electrophysiol1998; 9(11): 1167–72.
15.
CorradoD., BujaG., BassoC., NavaA., ThieneG.What is the Brugada syndrome?Cardiol Rev1999; 7(4): 191–5.
16.
BrugadaP., BrugadaR., BrugadaJ., GeelenP.Use of the prophylactic implantable cardioverter defibrillator for patients with normal hearts.Am J Cardiol1999; 83(5B): 98D–100D.
17.
GussakI., AntzelevitchC., BjerregaardP., TowbinJ.A., ChaitmanB.R.The Brugada syndrome: clinical, electrophysiologic and genetic aspects.J Am Coll Cardiol1999; 33(1): 5–15.
18.
MarinellaM.A.Electrocardiographic manifestations and differential diagnosis of acute pericarditis.Am Fam Physician1998; 57(4): 699–704.
GitterM.J., GoldsmithS.R., DunbarD.N., SharkeyS.W.Cocaine and chest pain: Clinical features and outcome of patients hospitalized to rule out myocardial infarction.Ann Intern Med1991; 115(4): 277–82.
22.
YasuT., OwaM., OmuraN., KatsukiT., SaitoM.Transient ST elevation and left ventricular asynergy associated with normal coronary artery in aneurysmal subarachnoid hemorrhage.Chest1993; 103(4): 1274–5.
KataokaH.Right precordial coved ST-T segment elevation in a healthy subject evaluated by isoproterenol infusion test. A case report.Angiology1994; 45(4): 409–11.