Brugada-type ECG association with unexpected sick sinus syndrome |
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Authors: | Fazelifar Amir Farjam Haghjoo Majid Emkanjoo Zahra Alizadeh Abolfath Alasti Mohammad Peighambari Mehdi Sadr-Ameli Mohammad Ali |
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Affiliation: | Department of Pacemaker and Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. fazelifar@rhc.ac.ir |
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Abstract: | A 23-year-old man was referred to our center for atrial flutter ablation. After arrhythmia termination sinus node dysfunction unmasked and persisted after 2 months drug-free follow-up. Secondary causes such as antiarrhythmic drug consumption, organic heart disease, or electrolyte disturbance could be excluded. Standard 12-lead ECG showed a coved-type ST elevation in V1-V3, which increased after flecainide provocative test. Following an unexpected sick sinus syndrome, a Brugada-type ECG should be noted. |
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Keywords: | Brugada-type ECG sick sinus syndrome atrial flutter |
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