Case presentation of acute ischemia induced ST-depression masking Brugada syndrome ECG pattern in a relatively young patient

Kristina Torngren; Aleksei Savelev; Erik Ljungström; Pyotr G Platonov

doi:10.1016/j.jelectrocard.2024.153853

Case presentation of acute ischemia induced ST-depression masking Brugada syndrome ECG pattern in a relatively young patient

J Electrocardiol. 2025 Jan-Feb:88:153853. doi: 10.1016/j.jelectrocard.2024.153853. Epub 2024 Dec 15.

Authors

Kristina Torngren¹, Aleksei Savelev², Erik Ljungström³, Pyotr G Platonov¹

Affiliations

¹ Department of Cardiology, Clinical Sciences, Lund University, Lund, Sweden.
² Department of Cardiology, Clinical Sciences, Lund University, Lund, Sweden. Electronic address: [email protected].
³ Department of Cardiology, Clinical Sciences, Lund University, Lund, Sweden; Arrhythmia Clinic, Skåne University Hospital, Lund, Sweden.

PMID: 39700779
DOI: 10.1016/j.jelectrocard.2024.153853

Abstract

ECG in Brugada syndrome (BrS) is characterized by a ST-segment elevation in the right precordial leads. Overlap between ST-segment changes in BrS and ischemia may lead to diagnostic challenges. We report a case of a male patient presented with recurrent chest pain episodes and ST elevation in the right precordial leads consistent with Brugada ECG pattern type 1 and was clinically diagnosed with BrS at the age of 30 years. During follow up the patient developed acute myocardial infarction with pronounced ST depression in the right precordial leads, masking the Brugada pattern of the baseline ECG.

Keywords: Brugada syndrome; case report; myocardial infarction; young patient.

Publication types

Case Reports

MeSH terms

Adult
Brugada Syndrome* / diagnosis
Brugada Syndrome* / physiopathology
Diagnosis, Differential
Electrocardiography*
Humans
Male
Myocardial Ischemia / diagnosis
Myocardial Ischemia / physiopathology