Document Detail


A young man with recurrent syncopes, right bundle branch block and ST segment elevation.
MedLine Citation:
PMID:  10530545     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report on the case of a 33-year-old man with recurrent syncopes appearing suddenly due to sustained monomorphic ventricular tachycardias. The electrocardiogram (ECG) showed a right bundle branch block pattern and ST segment elevation in the precordial leads V1 to V2, not explained by ischemia, electrolyte disturbances, toxic ingestion, or structural heart disease (coronary and right ventricle angiograms as well as biopsies of the right ventricle were normal). ECG image was compatible with the so-called Brugada syndrome, first described in 1992. This entity is very rare. Missed diagnosis can be disastrous because life-threatening ventricular arrhythmias often develop in patients.
Authors:
D Vanpee; D Blommaert; J B Gillet; L De Roy
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  17     ISSN:  0735-6757     ISO Abbreviation:  Am J Emerg Med     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-11-04     Completed Date:  1999-11-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  601-3     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, Catholic University of Louvain, Mont-Godinne Hospital, Yvoir, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bundle-Branch Block / complications,  diagnosis*
Death, Sudden, Cardiac / etiology,  prevention & control
Electrocardiography*
Humans
Male
Recurrence
Syncope / complications,  diagnosis*
Syndrome
Tachycardia, Ventricular / complications,  diagnosis*

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