AN UNCOMMON STEMI MASQUERADER: A CASE OF IMIPRAMINE INDUCED BRUGADA PHENOCOPY (BRP)
نویسندگان
چکیده
Brugada syndrome(BrS) is an arrhythmogenic disorder characterized by a bulging ST-segment elevation and J-point of at least 2 mm in two the right precordial electrocardiogram (ECG) leads (V1-3). It has incidence 4 to 12% sudden cardiac death (SCD) patients due ventricular tachycardia (VT) or fibrillation (VF). The type 1 ECG pattern may occur various conditions independent actual syndrome, this clinical phenomenon often referred as phenocopy (BrP). A wide variety other drugs have been reported unmask induce phenotype which otherwise be concealed, including antianginals, antidepressants, antipsychotics, antihistamines. In article, we present case Drug-induced BrP Imipramine. 60-year-old hypertensive female patientwith 3 days chest pain, who was us possible Acute Coronary Syndrome (ACS) general practitioner. She had history psychiatric illness her showed with J point curved ST segment V1 V3. We found that patient taking imipramine for 8 years disorder. Psychiatric opinion sought drug induced suspected following Imipramine discontinued. After weeks follow-up there resolution ST-T changes on ECG, supporting diagnosis drug-induced BrP.
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ژورنال
عنوان ژورنال: International journal of advanced research
سال: 2022
ISSN: ['2707-7802', '2707-7810']
DOI: https://doi.org/10.21474/ijar01/14939