Brugada syndrome differential diagnosis: Difference between revisions

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* Other normal variants (particularly in males)
* Other normal variants (particularly in males)


Prinzmetal angina,[http//circ.ahajournals.org/content/111/5/659.full?sid=52a12e4b-8533-4741-9be3-49a596258e4b#ref-21 <sup>21</sup>] dissecting aortic aneurysm,[http//circ.ahajournals.org/content/111/5/659.full?sid=52a12e4b-8533-4741-9be3-49a596258e4b#ref-22 <sup>22</sup>] various central and autonomic nervous system abnormalities,[http//circ.ahajournals.org/content/111/5/659.full?sid=52a12e4b-8533-4741-9be3-49a596258e4b#ref-23 <sup>23,24</sup>] Duchenne muscular dystrophy,[http//circ.ahajournals.org/content/111/5/659.full?sid=52a12e4b-8533-4741-9be3-49a596258e4b#ref-25 <sup>25</sup>] thiamin deficiency,[http//circ.ahajournals.org/content/111/5/659.full?sid=52a12e4b-8533-4741-9be3-49a596258e4b#ref-26 <sup>26</sup>] hyperkalemia,[http//circ.ahajournals.org/content/111/5/659.full?sid=52a12e4b-8533-4741-9be3-49a596258e4b#ref-22 <sup>22,27,28</sup>] hypercalcemia,[http//circ.ahajournals.org/content/111/5/659.full?sid=52a12e4b-8533-4741-9be3-49a596258e4b#ref-29 <sup>29,30</sup>] arrhythmogenic right ventricular dysplasia/cardiomyopathy,[http//circ.ahajournals.org/content/111/5/659.full?sid=52a12e4b-8533-4741-9be3-49a596258e4b#ref-31 <sup>31,32</sup>] pectus excavatum,[http//circ.ahajournals.org/content/111/5/659.full?sid=52a12e4b-8533-4741-9be3-49a596258e4b#ref-33 <sup>33</sup>] hypothermia,[http//circ.ahajournals.org/content/111/5/659.full?sid=52a12e4b-8533-4741-9be3-49a596258e4b#ref-34 <sup>34,35</sup>] and mechanical compression of the right ventricular outflow tract (RVOT) as occurs in mediastinal tumor[http//circ.ahajournals.org/content/111/5/659.full?sid=52a12e4b-8533-4741-9be3-49a596258e4b#ref-36 <sup>36</sup>] or hemopericardium.[http//circ.ahajournals.org/content/111/5/659.full?sid=52a12e4b-8533-4741-9be3-49a596258e4b#ref-37 <sup>37</sup>]
Duchenne muscular dystrophy
thiamin deficiency
hyperkalemia
hypercalcemia
arrhythmogenic right ventricular dysplasia/cardiomyopathy,
pectus excavatum
hypothermia
and mechanical compression of the right ventricular outflow tract (RVOT) as occurs in mediastinal tumor or hemopericardium


Of note, a Brugada-like ECG can occasionally appear for a brief period or for a period of several hours after direct-current cardioversion; it is not known whether these patients are gene carriers for Brugada syndrome.[http//circ.ahajournals.org/content/111/5/659.full?sid=52a12e4b-8533-4741-9be3-49a596258e4b#ref-38 <sup>38–40</sup>]
Of note, a Brugada-like ECG can occasionally appear for a brief period or for a period of several hours after direct-current cardioversion; it is not known whether these patients are gene carriers for Brugada syndrome.


==References==
==References==

Revision as of 04:03, 14 October 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Abnormalities that can lead to ST-segment elevation in the right precordial leads include the following:[1]

Duchenne muscular dystrophy thiamin deficiency hyperkalemia hypercalcemia arrhythmogenic right ventricular dysplasia/cardiomyopathy, pectus excavatum hypothermia and mechanical compression of the right ventricular outflow tract (RVOT) as occurs in mediastinal tumor or hemopericardium

Of note, a Brugada-like ECG can occasionally appear for a brief period or for a period of several hours after direct-current cardioversion; it is not known whether these patients are gene carriers for Brugada syndrome.

References

  1. Takehara N, Makita N, Kawabe J, Sato N, Kawamura Y, Kitabatake A, Kikuchi K (2004). "A cardiac sodium channel mutation identified in Brugada syndrome associated with atrial standstill". Journal of Internal Medicine. 255 (1): 137–42. PMID 14687250. Retrieved 2012-10-13. Unknown parameter |month= ignored (help)
  2. Wang K, Asinger RW, Marriott HJ (2003). "ST-segment elevation in conditions other than acute myocardial infarction". The New England Journal of Medicine. 349 (22): 2128–35. doi:10.1056/NEJMra022580. PMID 14645641. Retrieved 2012-10-13. Unknown parameter |month= ignored (help)

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