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Clinics and practice · Sep 2011
Case ReportsTransient loss of consciousness in a patient with a Brugada like ECG.
- Belinda Sandler, Steve Furniss, and Eric McWilliams.
- East Sussex Healthcare NHS Trust, UK.
- Clin Pract. 2011 Sep 28; 1 (4): e123.
AbstractSyncope in a patient with a Brugada syndrome channelopathy carries significant prognostic implications and warrants consideration of implantable cardioverter defibrillator (ICD) implantation. We report a case of a 62-year-old gentleman who presented with a transient loss of consciousness and an electrocardiogram (ECG) suggestive of type 1 Brugada syndrome. Further investigation revealed evidence of a silent myocardial infarction and negative ventricular tachycardia stimulation and Ajmaline testing. Careful review of the ECG's subsequently showed the type 1 pattern was present in only V1.
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