Journal
JOURNAL OF ELECTROCARDIOLOGY
Volume 40, Issue 1, Pages 39-42Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.jelectrocard.2006.05.006
Keywords
idiopathic ventricular fibrillation; Brugada syndrome; concealed type; Na channel blocker; pilsicainide
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We report a patient with a concealed type of Brugada syndrome. The electrocardiogram in the emergency department revealed atrial fibrillation with an almost normal ST segment. Slight electrocardiogram abnormalities of the J wave and mild ST-segment elevation appeared in the inferolateral leads a few days later. Although the ST segment in the right precordial leads, including that recorded from the high intercostal space recording sites, was completely normal, a drug challenge test using pilsicainide revealed a cooed-type ST-segment elevation only in a modified V2 lead placed 1 or 2 intercostal spaces higher. (c) 2007 Elsevier Inc. All rights reserved.
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