Torngren Kristina, Savelev Aleksei, Ljungström Erik, Platonov Pyotr G
Department of Cardiology, Clinical Sciences, Lund University, Lund, Sweden.
Department of Cardiology, Clinical Sciences, Lund University, Lund, Sweden.
J Electrocardiol. 2025 Jan-Feb;88:153853. doi: 10.1016/j.jelectrocard.2024.153853. Epub 2024 Dec 15.
ECG in Brugada syndrome (BrS) is characterized by a ST-segment elevation in the right precordial leads. Overlap between ST-segment changes in BrS and ischemia may lead to diagnostic challenges. We report a case of a male patient presented with recurrent chest pain episodes and ST elevation in the right precordial leads consistent with Brugada ECG pattern type 1 and was clinically diagnosed with BrS at the age of 30 years. During follow up the patient developed acute myocardial infarction with pronounced ST depression in the right precordial leads, masking the Brugada pattern of the baseline ECG.
布加综合征（BrS）的心电图特征为右胸前导联ST段抬高。BrS的ST段改变与心肌缺血之间的重叠可能导致诊断困难。我们报告一例男性患者，反复出现胸痛发作，右胸前导联ST段抬高，符合1型布加综合征心电图模式，30岁时临床诊断为BrS。在随访期间，患者发生急性心肌梗死，右胸前导联出现明显的ST段压低，掩盖了基线心电图的布加综合征模式。
