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Simultaneous ST-segment elevation in inferior and precordial leads following ingestion of a lethal dose of desipramine: a novel Brugada-like EKG pattern
Authors:Mujeeb Sheikh  Khalil Kanjwal  Rahil Kasmani  Surendra Chutani  James D. Maloney
Affiliation:(1) The University of Toledo Medical Center, 3000 Arlington ave, Toledo, OH 43614, USA;(2) St Vincent’s Medical Center, Toledo, OH, USA;(3) Division of Cardiology, The University of Toledo Medical Center, Toledo, OH, USA;
Abstract:The typical Brugada electrocardiographic (EKG) pattern includes ST-segment elevation in the right precordial leads (V1–V3) associated with right bundle branch block (rSR′) like morphology. Recently, a Brugada-like EKG pattern with ST-segment elevation in inferior leads called the “Brugada variant” has been reported. We report a case of simultaneous typical and variant Brugada EKG patterns with ST-segment elevation in the inferior as well as the precordial leads following ingestion of a lethal dose of desipramine.
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