Kardiol Pol
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We present a case of a 61-year-old man with a history of syncope and sudden cardiac arrest due to ventricular fibrillation, with the symptoms of spontaneous electrocardiographic changes characteristic for the Brugada syndrome. The patient received an implantable cardioverter-defibrillator. This patient was previously hospitalised in 2003, when the diagnosis of atrio-ventricular block has been established and in 2006, when he had chest pain and was operated because of the right coronary artery ostium haematoma. However, the diagnosis of Brugada syndrome was not established.
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According to the presenting electrocardiogram, acute myocardial infarction (MI) can by categorised generally as non-ST-segment elevation MI (NSTEMI) and ST-segment elevation MI (STEMI). ⋯ Despite current recommendations, NSTEMI patients are still less likely to be transferred for invasive treatment than STEMI patients. Among patients treated non-invasively during index hospital stay, NSTEMI is associated with more favourable prognosis than STEMI, but the risk of in-hospital death is high. The hospital network should implement more frequently the strategy of early and urgent invasive treatment of NSTEMI patients.