Brugada phenocopy in a patient with unstable angina and three-vessel coronary artery disease

Gavino Casu; Paola Berne; Graziana Viola; Stefano Bandino; Adrian Baranchuk

doi:10.1111/jce.14950

Brugada phenocopy in a patient with unstable angina and three-vessel coronary artery disease

J Cardiovasc Electrophysiol. 2021 Apr;32(4):1187-1190. doi: 10.1111/jce.14950. Epub 2021 Feb 24.

Authors

Gavino Casu^{1

2}, Paola Berne¹, Graziana Viola¹, Stefano Bandino¹, Adrian Baranchuk³

Affiliations

¹ Department of Cardiology, Ospedale San Francesco, Nuoro, Italy.
² University of Sassari, Sassari, Italy.
³ Division of Cardiology, Kingston General Hospital, Queen's University, Kingston, Ontario, Canada.

PMID: 33586167
DOI: 10.1111/jce.14950

Abstract

A 52-year-old male was admitted with unstable angina and three-vessel coronary artery disease. Electrocardiography (ECG) changes consistent with type-1 Brugada ECG pattern were noted during admission. The patient was asymptomatic for syncope and had no family history of sudden cardiac death, ICD implantation, and Brugada syndrome. After coronary by-pass graft the Brugada ECG pattern resolved, and ajmaline test did not elicit type-1 ECG pattern, confirming the suspicion of Brugada phenocopy.

Keywords: Brugada ECG pattern; Brugada phenocopy; Brugada syndrome; myocardial ischemia; unstable angina.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Angina, Unstable / diagnosis
Angina, Unstable / etiology
Brugada Syndrome* / diagnosis
Coronary Artery Disease* / complications
Coronary Artery Disease* / diagnostic imaging
Electrocardiography
Humans
Male
Middle Aged
Syncope