Article Text
Images in cardiology
Type 1 Brugada ECG unmasked by intracoronary contrast media
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- Arrhythmias
- brugada
- imaging and diagnostics
- electrocardiography
- st-t changes
- interventional cardiology
- coronary angiography
- contrast media
A 48-year-old man was admitted with chest discomfort. His ambulance electrocardiograph (ECG) documented ST-segment elevation in V1–V3. Immediate coronary angiography demonstrated smooth, normal, coronary arteries with no evidence of thrombus, plaque disease or coronary spasm. It was noted that injection of contrast medium (Omnipaque) resulted in further ST-segment deviation. The changes resembled those seen in a type 1 Brugada pattern. Subsequent Cardiac MRI scanning revealed a structurally normal heart.
An ajmaline provocation test …
Footnotes
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Competing interests None.
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Patient consent Obtained.
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Provenance and peer review Not commissioned; internally peer reviewed.