A 34-year-old man of Southeast Asian ancestry is brought to the emergency department after an episode of nocturnal syncope. His brother died suddenly at age 30. ECG shows pseudo-right bundle branch block and coved ST-segment elevations in leads V1 through V3. Which of the following is the most likely diagnosis?
- A)Acute anterior myocardial infarction
- B)Catecholaminergic polymorphic ventricular tachycardia
- C)Arrhythmogenic right ventricular cardiomyopathy
- D)Brugada syndromeGABARITO
- E)Wolff-Parkinson-White syndrome
Explicação
This patient has Brugada syndrome, an inherited sodium channelopathy associated with ventricular arrhythmias and sudden death. The characteristic ECG pattern is coved ST-segment elevation in V1 to V3 with a pseudo-right bundle branch block pattern, often in st... Ver explicação completa e trilha adaptativa →