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Case Reports
. 2022 Nov-Dec;22(6):291-294.
doi: 10.1016/j.ipej.2022.09.003. Epub 2022 Oct 1.

A dynamic Brugada sign due to left anterior descending coronary artery occlusion

Vickram Vignesh Rangaswamy  1 , Aparna Velmurugan  2 , Akshay Balaji  2 , S Balaji  2
Affiliations
Case Reports

A dynamic Brugada sign due to left anterior descending coronary artery occlusion

Vickram Vignesh Rangaswamy et al. Indian Pacing Electrophysiol J. 2022 Nov-Dec.

Erratum in

Abstract

Brugada phenocopies (BrP) include several conditions with a common electrocardiographic (ECG) pattern that are indistinguishable from classical Brugada syndrome (BrS). In this report, we describe two cases of acute myocardial infarction (AMI) presenting as BrP. The majority of cases of BrP in AMI have been reported due to right coronary artery (RCA) occlusion. Rarely, the left anterior descending artery (LAD) is incriminated as the cause. In both our cases of BrP, LAD was the culprit vessel.

Keywords: Acute coronary syndrome; Acute myocardial infarction; Brugada phenocopy; Brugada sign; Brugada syndrome.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
A: ECG taken at presentation showing horizontal ST segment depression with T wave inversion in anterior leads Fig. 1B: ECG taken during an episode of chest pain showing the emergence of Brugada sign in V1–V3 along with ST segment elevation (STE) in aVR and ST segment depression along with reversal of T wave polarity in V3–V5 and aVL. Fig. 1C: ECG taken post PCI to LAD vessel showed the resolution of Brugada sign.
Fig. 2
Fig. 2
A: ECG taken during chest pain shows Brugada sign in V1–V2 and deep T wave inversion in anterolateral leads (V4-6 and I and aVL) Fig. 2B: ECG taken post PCI to LAD vessel showed resolution of ECG changes.
figs1
figs1
See this image and copyright information in PMC

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