An Unusual Case of Exercise-Induced Idiopathic Brugada Electrocardiographic Pattern.
10.4070/kcj.2007.37.10.517
- Author:
Ji Hoon CHO
1
;
Deok Kyu CHO
;
Jin Yi CHOI
;
Lucy Youngmin EUN
;
Yun Hyeong CHO
;
Jong Hoon KOH
;
Ki Hyun BYUN
Author Information
1. Department of Internal Medicine, College of Medicine, Kwandong University, Goyang, Korea. chodk123@paran.com
- Publication Type:Case Report
- Keywords:
Brugada ECG;
Vagus nerve;
Exercise test
- MeSH:
Adult;
Arrhythmias, Cardiac;
Cardiology;
Defibrillators;
Electrocardiography*;
Exercise Test;
Flecainide;
Humans;
Male;
Myocardial Infarction;
Thorax;
Vagus Nerve
- From:Korean Circulation Journal
2007;37(10):517-519
- CountryRepublic of Korea
- Language:English
-
Abstract:
An exercise-induced idiopathic Brugada electrocardiographic pattern during the effort phase is very rare. A 42-year-old male visited our cardiology clinic for chest discomfort. He has been treated for myocardial infarction 2 months ago. He underwent a treadmill test according to the Bruce protocol. Typical coved-type ST-segment elevation was found during the effort phase, and it gradually recovered after the exercise. The ST-segment elevation appeared to be unrelated to hypervagotonia. This elevation was not induced by a pharmacological test with flecainide. A significant ventricular arrhythmia was not induced by programmed ventricular stimulation. Hence, we discharged the patient without implantation of an implantable cardioverter defibrillator.
