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Brugada phenocopy induced by severe pneumothorax.
Javier C Barcos1, Iván A Tello Santacruz1, César Cáceres Monié1
1Department of Cardiology, Hospital Británico de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
Journal of Electrocardiology
|December 16, 2017
Summary
A Brugada phenocopy mimics Brugada syndrome ECGs without genetic causes. This case highlights a type 1 Brugada phenocopy linked to severe left pneumothorax, a rare association.
Area of Science:
- Cardiology
- Pulmonology
- Medical Diagnostics
Background:
- Brugada phenocopy presents ECG abnormalities similar to Brugada syndrome.
- It occurs in the absence of underlying genetic mutations.
- Distinguishing phenocopy from syndrome is crucial for patient management.
Observation:
- The study reports the first confirmed case of type 1 Brugada phenocopy.
- This phenocopy was associated with a severe left pneumothorax.
- An ajmaline provocative test was negative, aiding diagnosis.
Findings:
- ST-segment elevation on ECG in pneumothorax cases is infrequent.
- The case demonstrates a rare association between Brugada phenocopy and pneumothorax.
- Diagnostic confirmation involved excluding genetic Brugada syndrome.
Implications:
- This case expands the understanding of Brugada phenocopy triggers.
- It underscores the importance of considering non-genetic causes for Brugada-like ECGs.
- Clinicians should be aware of this association in patients with pneumothorax.
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