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Type 1 Brugada ECG unmasked by intracoronary contrast media
  1. Robert William Bowers1,
  2. Peter O'Kane2,
  3. Richard Navaratnum Balasubramaniam2
  1. 1Department of Cardiology, Southampton General Hospital, Southampton, Hampshire, UK
  2. 2Department of Cardiology, Royal Bournemouth Hospital, Bournemouth, Dorset, UK
  1. Correspondence to Dr Robert William Bowers, Department of Cardiology, Southampton General Hospital, Tremona Road, Southampton, Hampshire SO16 6YD, UK; robbowers12{at}

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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.

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.