A case report of Brugada-like ST-segment elevation probably due to coronary vasospasm

Medicine
Lu YangYongquan Wu

Abstract

Vasospastic angina is caused by sudden occlusive vasoconstriction of a segment of an epicardial artery, with transient ST-segment elevation on electrocardiography. Brugada Syndrome is an inherited arrhythmogenic cardiac disorder with a diagnostic electrocardiography characterized by coved-type ST-segment elevation in right precordial leads (V1-V3). Those two diseases usually have no correlation. In this report, we discuss an interesting case of a patient who was diagnosed as vasospastic angina according to his coronary angiography, but his electrocardiography showed a Brugada-like ST-segment elevation. Our patient had a 9-month history of temporary but progressive substernal burning sensation with acid bilges of shoulders and arms, as well as profuse sweating at night. Although he had no abnormal laboratory test result, no dysfunctional recorded echocardiogram or documented arrhythmia after being admitted to the hospital, his electrocardiography showed a Brugada-like ST-segment elevation. The coronary angiography result confirmed a diagnosis of vasospastic angina. The patient was prescribed diltiazem, aspirin, isosorbide mononitrate and rosuvastatin and was strongly advised to quit cigarettes and alcohol. Follow-up at half a ye...Continue Reading

References

Jul 28, 2010·Journal of Molecular and Cellular Cardiology·Arthur A M WildeCharles Antzelevitch
Aug 28, 2012·Journal of Electrocardiology·Antonio Bayés de LunaPedro Brugada
May 15, 2013·Circulation. Arrhythmia and Electrophysiology·Michael PapadakisSanjay Sharma
Oct 3, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·UNKNOWN JCS Joint Working Group
Jun 12, 2016·Journal of the American Heart Association·Vincent PorteroRichard Redon
Sep 3, 2016·Current Topics in Membranes·K R DeMarco, C E Clancy
Jan 11, 2017·Circulation Journal : Official Journal of the Japanese Circulation Society·Antonio CurcioCiro Indolfi
Aug 22, 2017·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Vinod NamanaGerald Hollander

❮ Previous
Next ❯

Related Concepts

Related Feeds

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Antianginal Drugs: Mechanisms of Action

Antianginal drugs, including nitrates, beta-blockers, and calcium channel blockers, are used in the treatment of angina pectoris. Here is the latest research on their use and their mechanism of action.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Related Papers

Srpski arhiv za celokupno lekarstvo
Vesna BisenićGoran Milašinović
Turkish Journal of Anaesthesiology and Reanimation
Halide Hande ŞahinkayaErtaç Özeroğlu
© 2022 Meta ULC. All rights reserved