An Unusual Case of Exercise-Induced Idiopathic Brugada Electrocardiographic Pattern
Korean Circulation Journal 2007³â 37±Ç 10È£ p.517 ~ p.519
Á¶ÁöÈÆ(Cho Ji-Hoon) - °üµ¿´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Á¶´ö±Ô(Cho Deok-Kyu) - °üµ¿´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÃÖÁøÀÌ(Choi Jin-Yi) - °üµ¿´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Àº¿µ¹Î(Eun Young-Min) - °üµ¿´ëÇб³ ÀÇ°ú´ëÇÐ ¼Ò¾Æ°úÇб³½Ç
Á¶À±Çü(Cho Yun-Hyeong) - °üµ¿´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
°íÁ¾ÈÆ(Koh Jong-Hoon) - °üµ¿´ëÇб³ ÀÇ°ú´ëÇÐ ½ÉÀå³»°ú
º¯±âÇö(Byun Ki-Hyun) - °üµ¿´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Abstract
An exercise-induced idiopathic Brugada electrocardiographic pattern during the effort phase is very rare. A 42-year-old male visited our cardiology clinic for chest discomfort. He has been treated for myocardial infarction 2 months ago. He underwent a treadmill test according to the Bruce protocol. Typical coved-type ST-segment elevation was found during the effort phase, and it gradually recovered after the exercise. The ST-segment elevation appeared to be unrelated to hypervagotonia. This elevation was not induced by a pharmacological test with flecainide. A significant ventricular arrhythmia was not induced by programmed ventricular stimulation. Hence, we discharged the patient without implantation of an implantable cardioverter defibrillator
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Brugada ECG, Vagus nerve, Exercise test
KMID :
0368120070370100517
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À¯È¿¼º°á°ú(Recomendation)
A significant ventricular arrhythmia was not induced by programmed ventricular stimulation.