Not All ST Elevation Is STEMI: Brugada Phenocopy Induced by Hyperkalemia.
brugada ekg pattern
brugada phenocopy
brugada syndrome
hyperkalemia
st elevation
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
received:
03
03
2023
accepted:
31
03
2023
medline:
4
5
2023
pubmed:
4
5
2023
entrez:
4
5
2023
Statut:
epublish
Résumé
Brugada syndrome (BrS) is a hereditary channelopathy associated with malignant ventricular arrhythmia and sudden death in individuals with a structurally normal heart. It is characterized by an ST-segment elevation in the precordial leads. Brugada phenocopy (BrP) is a term given to conditions that could result in ST morphologies identical to those found in Brugada syndrome (Brugada pattern electrocardiogram (EKG) changes) without the actual channelopathy responsible for Brugada syndrome. BrP is a rare EKG manifestation of hyperkalemia, commonly seen at high serum levels of potassium, and associated with malignant arrhythmia. Here, we present a case with Brugada pattern EKG changes associated with hyperkalemia and metabolic acidosis, which normalized after correcting the electrolyte abnormalities. In this case, we also wanted to highlight that not all ST-segment elevation is due to myocardial infarction (MI). In young patients with no coronary artery disease (CAD) risk factors, other potential ST elevation causes should be considered.
Identifiants
pubmed: 37139283
doi: 10.7759/cureus.36951
pmc: PMC10151112
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e36951Informations de copyright
Copyright © 2023, Greffie et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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