Acta Cardiologica 2013-10-01

Brugada syndrome presenting as an acute coronary syndrome.

Ian Buysschaert, Rudy De Rybel, Karl Dujardin

Index: Acta Cardiol. 68(5) , 521-3, (2013)

Full Text: HTML

Abstract

Syncope, non-specific ST-segment alterations and elevated troponin (cTn) are suspicious of an acute coronary syndrome (ACS). While an ACS is excluded when the coronary angiogram returns normal, the raised cTn should prompt a search for other potentially lethal diseases, such as pulmonary embolism, myocarditis or malignant ventricular arrhythmias. Here we describe a 42-year-old man presenting with syncope, ST-segment elevation, cTn rise and a normal angiogram. He was ultimately diagnosed with Brugada syndrome.