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Case Reports
Not all ST-segment elevations are myocardial infarction: Hyperkalemia and Brugada phenocopy.
- Gregory Dendramis, Salvatore Massimo Petrina, and Adrian Baranchuk.
- Cardiovascular Division, University Hospital "Paolo Giaccone", Palermo, Italy. Electronic address: gregorydendramis@libero.it.
- Am J Emerg Med. 2017 Apr 1; 35 (4): 662.e1-662.e2.
AbstractSeveral clinical conditions other than Brugada syndrome (BrS) can mimic acute ST-segment elevation myocardial infarction and Brugada phenocopies are a part of those conditions that can mimic either true BrS or acute myocardial infarction. Our manuscript shows an interesting and didactic case report of type-1 Class A Brugada phenocopy (BrP) induced by hyperkalemia and allow us to teach the systematic approach to the proper diagnosis of BrP. A prompt recognition of this clinical and electrocardiographic entity may expedite the initiation of appropriate treatments as illustrated in this case report.Copyright © 2016 Elsevier Inc. All rights reserved.
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