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Intermittent Brugada syndrome misdiagnosed as acute myocardial infarction and unmasked with propafenone
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A 40 year old man was admitted to the emergency department with chest and left shoulder pain for an hour. His admission ECG revealed 3–5 mm ST segment elevation on leads V1–3 and right bundle branch block (RBBB). His previous ECGs were normal. Acute myocardial infarction was diagnosed and thrombolytic treatment initiated. Six hours later, …