• J Cardiovasc Med (Hagerstown) · Mar 2009

    Case Reports

    Unexplained syncope, Brugada-like ECG and minimal structural right ventricular abnormalities: which is the right diagnosis?

    • Elena Marras, Cristina Basso, Luigi Sciarra, and Pietro Delise.
    • Department of Cardiology, Santa Maria dei Battuti Hospital, Conegliano, Italy. elena.marras@alice.it
    • J Cardiovasc Med (Hagerstown). 2009 Mar 1; 10 (3): 273-5.

    AbstractWe describe a 65-year-old man with unexplained syncope, Brugada ECG pattern and right ventricular abnormalities. To reach a diagnosis of Brugada syndrome, a variety of diseases have to be excluded. This case report shows how difficult the differential diagnosis is, particularly with arrhythmogenic right ventricular cardiomyopathy, after documentation of minimal structural RV abnormalities; invasive examination may be required. In this case, three-dimensional electroanatomical bipolar voltage mapping revealed a scar area in the right ventricle in the absence of clear-cut kinetic abnormalities, but the sensitivity of this method and specificity in patients without confirmed arrhythmogenic right ventricular cardiomyopathy have not been defined.

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