PMID- 21947139
OWN - NLM
STAT- MEDLINE
DCOM- 20120124
LR  - 20110928
IS  - 2737-5935 (Electronic)
IS  - 0037-5675 (Linking)
VI  - 52
IP  - 9
DP  - 2011 Sep
TI  - Brugada pattern masking anterior myocardial infarction.
PG  - 647-50; quiz 651
AB  - A middle-aged male smoker presented with atypical chest pain. Initial 
      electrocardiogram (ECG) showed Brugada Type 1 pattern. Subsequent ECGs 
      demonstrated evolving anterior ST elevation myocardial infarction (STEMI), 
      consistent with the elevated cardiac enzymes. Coronary angiogram showed 
      significant stenoses in the left anterior descending artery, which were stented 
      emergently. In retrospect, subtle changes were noted in the initial ECG, which 
      could have alerted one to the STEMI. However, the presence of a Brugada Type 1 
      pattern masked the ECG changes of anterior STEMI and made the diagnosis 
      difficult. A discussion of the literature surrounding Brugada syndrome is 
      undertaken, including its clinical features, risk stratification and management.
FAU - Seow, S C
AU  - Seow SC
AD  - Cardiology Department, National University Health System, 1E Kent Ridge Road, 
      Level 9, NUHS Tower Block, Singapore 119228. swee_chong_seow@nuhs.edu.sg
FAU - Omar, A R
AU  - Omar AR
FAU - Hong, E C
AU  - Hong EC
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - India
TA  - Singapore Med J
JT  - Singapore medical journal
JID - 0404516
SB  - IM
MH  - Brugada Syndrome/*diagnosis
MH  - Chest Pain
MH  - Electrocardiography/*methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*diagnosis
MH  - Smoking
MH  - Treatment Outcome
EDAT- 2011/09/29 06:00
MHDA- 2012/01/25 06:00
CRDT- 2011/09/28 06:00
PHST- 2011/09/28 06:00 [entrez]
PHST- 2011/09/29 06:00 [pubmed]
PHST- 2012/01/25 06:00 [medline]
PST - ppublish
SO  - Singapore Med J. 2011 Sep;52(9):647-50; quiz 651.