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Brugada Phenocopy Associated With Toxic Myocarditis due to Aluminum Phosphide: A Case Report
Maria V Manrique-Marquez1, Jorge P Juarez-Lloclla2, Christian A Rodríguez-Saldaña3
1Department of Internal Medicine, Peru-Korea Santa Rosa II-2 Hospital, Piura, Peru.
None:
We present the case of a 27-year-old woman who ingested aluminum phosphide (AlP) in a suicide attempt, leading to severe toxic myocarditis and a transient Brugada pattern (Brugada phenocopy [BrP]) on her electrocardiogram (ECG). The initial treatment included supportive measures and management of a non-ST elevation acute coronary syndrome. Despite the severity of her condition, the patient stabilized, with normalization of ECG findings and improvement in left ventricular function. This case highlights the importance of recognizing BrP as a potential manifestation of toxic myocarditis, especially in the context of AlP poisoning, and underscores the critical need for early intervention and appropriate management.
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