Aldo Coppolino* and Letizia Valeri

Department of Cardiology, S. Annunziata Hospital, Savigliano (CN), Italy

*Corresponding Author: Aldo Coppolino, Department of Cardiology, S. Annunziata Hospital, Savigliano (CN), Italy.

Received: December 03, 2021; Published: December 30, 2021

Abstract

Brugada type 1 ECG pattern is characterized by high take-off or highest point of the QRS-ST at least 2 mm over baseline and by coved type ST elevation followed by negative symmetrical T-wave in the right precordial leads (V1-V2).

The Brugada Syndrome associated with an increased hazard of sudden death can appear in patients with typical and diagnostic ECG changes and a history of symptoms (syncope, cardiac arrest).

Although several conditions can mimic Brugada ECG patterns, such as early repolarization, myocardial ischemia, electrolyte disorders or poor ECG filter, these clinical entities have been called Brugada Phenocopyies.

We report a case of Brugada Phenocopy in a 65-year-old man admitted to the emergency room because of syncope. ECG showed spontaneous and typical Brugada type 1 ECG, and echocardiography showed a massive pericardial effusion compressing the right ventricle. Brugada type 1 ECG disappeared after the pericardial drain, and we have not observed it anymore. The pericardial tamponade was the mechanism of syncope and the Brugada type 1 ECG pattern. Both had mimed Brugada Syndrome.

Keywords: Brugada Syndrome; Brugada Phenocopy; Electrocardiogram; Pericardial Effusion; Syncope

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Citation

Citation: Aldo Coppolino and Letizia Valeri. “Pericardial Effusion and Brugada Type 1 Electrocardiogram Pattern. An Another Case of Brugada Phenocopy". Acta Scientific Clinical Case Reports 3.1 (2022): 59-64.

Copyright

Copyright: © 2022 Aldo Coppolino and Letizia Valeri. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.