ST-Segment Elevation: One Sign, Many Shadows
Marco Bergonti1,2, Johan Saenen2, Hein Heidbuchel2,3
1University of Milan, Cardiovascular Disease Fellowship Program, Milan, Italy.
Abstract:
ST-segment elevation in patients sedated with propofol may be a sign of imminent malignant arrhythmias. Although propofol infusion syndrome-electrocardiographic abnormalities are usually described as Brugada-pattern, in unique cases nearly ubiquitous and extensive J-point and ST-segment elevation may be observed. These patients should undergo an ajmaline test following recovery. (Level of Difficulty: Beginner.).
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