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A man in his 70s with weakness and syncope

Dr. Smith's ECG Blog

Formal echocardiogram showed normal EF, no wall motion abnormalities, no pericardial effusion. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. The patient proceeded to cath where all coronaries were described as normal with no evidence of any CAD, spasm, or any other abnormality.

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. The Troponin I was cycled over time and was 0.353 followed by 0.296. Circulation, 117, 1890–1893.