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Document Details :

Title: Brugada syndrome presenting as an acute coronary syndrome
Author(s): I. Buysschaert , R. De Rybel , K. Dujardin
Journal: Acta Cardiologica
Volume: 68    Issue: 5   Date: 2013   
Pages: 521-523
DOI: 10.2143/AC.68.5.2994478

Abstract :
Syncope, non-specific ST-segment alterations and elevated troponin (cTn) are suspicious of an acute coronary syndrome (ACS). While an ACS is excluded when the coronary angiogram returns normal, the raised cTn should prompt a search for other potentially lethal diseases, such as pulmonary embolism, myocarditis or malignant ventricular arrhythmias. Here we describe a 42-year-old man presenting with syncope, ST-segment elevation, cTn rise and a normal angiogram. He was ultimately diagnosed with Brugada syndrome.