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Gepubliceerd in: Netherlands Heart Journal 9/2019

Open Access 21-05-2019 | Rhythm Puzzle - Question

Funny waves in repolarisation and tachycardia in a patient suspected for Brugada syndrome

Auteurs: J. Shaffu, P. Goethals, L. Jordaens

Gepubliceerd in: Netherlands Heart Journal | Uitgave 9/2019

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A 37-year-old man was admitted after syncope with facial trauma. He had been examined for bradycardia 6 years earlier, had a known complete right bundle branch block (RBBB) without structural heart disease. Electrocardiography (ECG) findings (Fig. 1a) now showed a trifascicular block (RBBB, left posterior fascicular block and a first-degree atrioventricular block with a PR interval of 244 ms), and an ST elevation in V2 [1]. An epsilon wave in V2 [2] can be suspected. The left ventricular ejection fraction was 57%; the right ventricle had normal wall thickness, without dilatation, confirmed with magnetic resonance imaging. A monomorphic ventricular tachycardia was induced (Fig. 1b). He recognised this arrhythmia as his main complaint.
Is this ECG compatible with Brugada syndrome? Are the anomalies in the right precordial ST segments a sign of another disease? Is the arrhythmia related to Brugada syndrome?

Answer

You will find the answer elsewhere in this issue.
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
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Netherlands Heart Journal

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Literatuur
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go back to reference Cox MG, Vandersmagt JJ, Noorman M, et al. ARVD/C Diagnosis: impact of new task force criteria. Circ Arrhythm Electrophysiol. 2010;3:126–33. CrossRefPubMed Cox MG, Vandersmagt JJ, Noorman M, et al. ARVD/C Diagnosis: impact of new task force criteria. Circ Arrhythm Electrophysiol. 2010;3:126–33. CrossRefPubMed
Metagegevens
Titel
Funny waves in repolarisation and tachycardia in a patient suspected for Brugada syndrome
Auteurs
J. Shaffu
P. Goethals
L. Jordaens
Publicatiedatum
21-05-2019
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 9/2019
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-019-1291-9