Right bundle branch block and coved-type ST-segment elevation mimicked by acute cholecystitis

被引:0
作者
Furuhashi, M
Uno, K
Satoh, S
Hoshikawa, K
Sakai, E
Tsuchihashi, K
Shimamoto, K
机构
[1] Sapporo Med Univ, Sch Med, Dept Internal Med 2, Chuo Ku, Sapporo, Hokkaido 0608543, Japan
[2] Hachiken Cardiovasc Hosp, Sapporo, Hokkaido, Japan
关键词
acute cholecystitis; antidepressant; Brugada syndrome; pilsicainide; signal-averaged electrocardiogram;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 69-year-old woman had acute cholecystitis that mimicked right bundle branch block with coved-type ST-segment elevation in the precordial electrocardiogram leads (Brugada-type ST shift). The patient did not have obvious heart disease, syncope, or a family history of sudden death. The coved-type ST-segment elevation disappeared as the acute inflammation subsided. Intravenous administration of pilsicainide, a pure sodium channel blocker, could reproduce the Brugada-type ST shift. This is the first report of the Brugada-type ST shift occurring in association with acute cholecystitis.
引用
收藏
页码:802 / 804
页数:3
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