• J Card Surg · Sep 2010

    Review Case Reports

    Cardiac arrest with "pseudo-Brugada" ECG pattern in the setting of a coronary artery anomaly.

    • Ajay K Sharma, Arvind Agnihotri, Jay Schachne, and E Kevin Heist.
    • Division of Internal Medicine, Charlton Memorial Hospital, Fall River, Massachusetts, USA.
    • J Card Surg. 2010 Sep 1;25(5):614-7.

    AbstractA 36-year-old Hispanic man with no prior cardiac history presented with chest pain and then ventricular fibrillation requiring defibrillation after a physical altercation. His ECG on presentation to the emergency room was suggestive of Brugada syndrome, which later normalized. Cardiac catheterization revealed anomalous origin of right coronary artery from the left coronary cusp (coursing between the pulmonary artery and the aorta) for which he underwent surgical reimplantation, and subsequent pharmacological challenge test did not provoke reappearance of a Brugada ECG pattern. A review of literature on Brugada syndrome and anomalous origin of the coronary arteries is presented. © 2010 Wiley Periodicals, Inc.

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