Brugada syndrome differential diagnosis: Difference between revisions
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* [[Friedreich ataxia]] | * [[Friedreich ataxia]] | ||
* [[Heterocyclic antidepressant overdose]] | * [[Heterocyclic antidepressant overdose]] | ||
* [[Hypercalcemia]]<ref name="pmid6475795">{{cite journal |author=Douglas PS, Carmichael KA, Palevsky PM |title=Extreme hypercalcemia and electrocardiographic changes |journal=[[The American Journal of Cardiology]] |volume=54 |issue=6 |pages=674–5 |year=1984 |month=September |pmid=6475795 |doi= |url= |issn= |accessdate=2012-10-13}}</ref> | * [[Hypercalcemia]]<ref name="pmid6475795">{{cite journal |author=Douglas PS, Carmichael KA, Palevsky PM |title=Extreme hypercalcemia and electrocardiographic changes |journal=[[The American Journal of Cardiology]] |volume=54 |issue=6 |pages=674–5 |year=1984 |month=September |pmid=6475795 |doi= |url= |issn= |accessdate=2012-10-13}}</ref><ref name="pmid6475794">{{cite journal |author=Sridharan MR, Horan LG |title=Electrocardiographic J wave of hypercalcemia |journal=[[The American Journal of Cardiology]] |volume=54 |issue=6 |pages=672–3 |year=1984 |month=September |pmid=6475794 |doi= |url= |issn= |accessdate=2012-10-13}}</ref> | ||
* [[Hyperkalemia]]<ref>Myers GB. Other QRS-T patterns that may be mistaken for myocardial infarction; IV. Alterations in blood potassium; myocardial ischemia; subepicardial myocarditis; distortion associated with arrhythmias. Circulation. 1950; 2: 75–93.</ref><ref>Merrill JP, Levine HD, Somerville W, Smith S. Clinical recognition and treatment of acute potassium intoxication. Ann Intern Med. 1950; 33: 797–830.</ref><ref name="pmid12413761">{{cite journal |author=Ortega-Carnicer J, Benezet J, Ruiz-Lorenzo F, Alcázar R |title=Transient Brugada-type electrocardiographic abnormalities in renal failure reversed by dialysis |journal=[[Resuscitation]] |volume=55 |issue=2 |pages=215–9 |year=2002 |month=November |pmid=12413761 |doi= |url=http://linkinghub.elsevier.com/retrieve/pii/S0300957202002101 |issn= |accessdate=2012-10-13}}</ref> | * [[Hyperkalemia]]<ref>Myers GB. Other QRS-T patterns that may be mistaken for myocardial infarction; IV. Alterations in blood potassium; myocardial ischemia; subepicardial myocarditis; distortion associated with arrhythmias. Circulation. 1950; 2: 75–93.</ref><ref>Merrill JP, Levine HD, Somerville W, Smith S. Clinical recognition and treatment of acute potassium intoxication. Ann Intern Med. 1950; 33: 797–830.</ref><ref name="pmid12413761">{{cite journal |author=Ortega-Carnicer J, Benezet J, Ruiz-Lorenzo F, Alcázar R |title=Transient Brugada-type electrocardiographic abnormalities in renal failure reversed by dialysis |journal=[[Resuscitation]] |volume=55 |issue=2 |pages=215–9 |year=2002 |month=November |pmid=12413761 |doi= |url=http://linkinghub.elsevier.com/retrieve/pii/S0300957202002101 |issn= |accessdate=2012-10-13}}</ref> | ||
* [[Hypothermia]], can cause an [[Osborn wave]] on the ECG which can sometimes resemble Brugada syndrome | * [[Hypothermia]], can cause an [[Osborn wave]] on the ECG which can sometimes resemble Brugada syndrome | ||
Revision as of 04:49, 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]
- Acute myocardial ischemia or infarction
- Acute myocarditis
- Acute pericarditis
- Acute pulmonary thromboemboli
- Arrhythmogenic right ventricular dysplasia / cardiomyopathy (ARVD/C)
- Cardioversion. Brugada-like ECG changes can be observed briefly after direct-current cardioversion. It is currently unclear if this is a sign that the patient is a gene carrier for Brugada syndrome.
- Cocaine intoxication
- Coronary spasm
- Dissecting aortic aneurysm[2]
- Duchenne muscular dystrophy[3]
- Early repolarization
- Friedreich ataxia
- Heterocyclic antidepressant overdose
- Hypercalcemia[4][5]
- Hyperkalemia[6][7][8]
- Hypothermia, can cause an Osborn wave on the ECG which can sometimes resemble Brugada syndrome
- Left ventricular hypertrophy
- Pectus excavatum
- Prinzmetal's angina[9]
- Mediastinal tumor compressing the right ventricular outflow tract (RVOT)
- Right (atypical) or left bundle-branch block
- Right ventricular infarction
- Right ventricular ischemia
- Right ventricular outflow tract compression due to a mediastinal tumor or hemopericardium
- Thiamine deficiency[10]
- Various central and autonomic nervous system abnormalities
- Other conditions that can lead to ST-segment elevation in the right precordial leads
- Early repolarization syndrome
- Other normal variants (particularly in males)
References
- ↑ 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) - ↑ Myers GB. Other QRS-T patterns that may be mistaken for myocardial infarction; IV. Alterations in blood potassium; myocardial ischemia; subepicardial myocarditis; distortion associated with arrhythmias. Circulation. 1950; 2: 75–93.
- ↑ Perloff JK, Henze E, Schelbert HR. Alterations in regional myocardial metabolism, perfusion, and wall motion in Duchenne muscular dystrophy studied by radionuclide imaging. Circulation. 1984; 69: 33–42.
- ↑ Douglas PS, Carmichael KA, Palevsky PM (1984). "Extreme hypercalcemia and electrocardiographic changes". The American Journal of Cardiology. 54 (6): 674–5. PMID 6475795. Unknown parameter
|month=ignored (help);|access-date=requires|url=(help) - ↑ Sridharan MR, Horan LG (1984). "Electrocardiographic J wave of hypercalcemia". The American Journal of Cardiology. 54 (6): 672–3. PMID 6475794. Unknown parameter
|month=ignored (help);|access-date=requires|url=(help) - ↑ Myers GB. Other QRS-T patterns that may be mistaken for myocardial infarction; IV. Alterations in blood potassium; myocardial ischemia; subepicardial myocarditis; distortion associated with arrhythmias. Circulation. 1950; 2: 75–93.
- ↑ Merrill JP, Levine HD, Somerville W, Smith S. Clinical recognition and treatment of acute potassium intoxication. Ann Intern Med. 1950; 33: 797–830.
- ↑ Ortega-Carnicer J, Benezet J, Ruiz-Lorenzo F, Alcázar R (2002). "Transient Brugada-type electrocardiographic abnormalities in renal failure reversed by dialysis". Resuscitation. 55 (2): 215–9. PMID 12413761. Retrieved 2012-10-13. Unknown parameter
|month=ignored (help) - ↑ 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) - ↑ Read DH, Harrington DD (1981). "Experimentally induced thiamine deficiency in beagle dogs: clinical observations". American Journal of Veterinary Research. 42 (6): 984–91. PMID 7197132. Unknown parameter
|month=ignored (help);|access-date=requires|url=(help)