Publish in this journal
Journal Information
Vol. 66. Issue 4.
Pages 309 (April 2013)
Share
Share
Download PDF
More article options
Vol. 66. Issue 4.
Pages 309 (April 2013)
Image in cardiology
DOI: 10.1016/j.rec.2011.04.021
Full text access
Hyperkalemia Mimicking a Pattern of Brugada Syndrome
Hiperpotasemia simulando un síndrome de Brugada
Visits
6773
Lluis Recasens??
Corresponding author
91637@parcdesalutmar.cat

Corresponding author:
, Oona Meroño, Nuria Ribas
Servicio de Cardiología, Hospital del Mar, Barcelona, Spain
Related content
Rev Esp Cardiol. 2013;66:75510.1016/j.rec.2013.04.010
Daniel D. Anselm, Adrian Baranchuk
This item has received
6773
Visits
Article information
Full Text
Download PDF
Statistics
Figures (1)
Full Text

A 70-year-old patient with a history of hypertension and dyslipidemia was receiving treatment with enalapril, simvastatin, and hydrochlorothiazide. He was referred to our hospital for presyncope and suspected acute myocardial infarction in an anterior location. The first electrocardiogram (Fig. 1A) showed a saddlebag-type ST segment elevation in V1 to V3. Echocardiography excluded a segmental wall motion abnormality. Despite the patient's advanced age and the absence of previous episodes of syncope or a family history of sudden death, the presumptive diagnosis was Brugada syndrome. The initial analyses showed creatinine 4.88mg/dL, Na 127mEq/L, K 7.53mEq/L, pH 7.22, and troponin T <0.01ng/mL.

(1.32MB).

The patient was treated for hyperpotassemia and was hospitalized to investigate renal failure. Once the potassium concentration had normalized, a new electrocardiographic study was carried out (Fig. 1B), in which the Brugada pattern had disappeared. Nonetheless, a flecainide test was performed, with negative results. Various situations have been described in which an electrocardiographic pattern of Brugada syndrome is manifested, such as drug-related conditions, heart diseases, acute myocardial infarction with ST segment elevation, muscular dystrophy, and hypothermia. Although hyperpotassemia can display diverse manifestations on electrocardiography, a presentation mimicking a Brugada pattern is very unusual.

.

Copyright © 2011. Sociedad Española de Cardiología
Idiomas
Revista Española de Cardiología (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.