Author/Authors :
Shim, Alicia Cardiology Unit - Advanced Cardiovascular Institute, Port of Spain, Trinidad and Tobago , Seecheran, Rajeev Department of Medicine - North Central Regional Health Authority, Mt. Hope, Trinidad and Tobago , Seecheran, Valmiki Department of Medicine - North Central Regional Health Authority, Mt. Hope, Trinidad and Tobago , Persad, Sangeeta Department of Medicine - North Central Regional Health Authority, Mt. Hope, Trinidad and Tobago , Sreenivasan, Shiva School of Medicine - Dentistry, and Biomedical Sciences - Queen’s University, Belfast, UK , Henry, Ronald Cardiology Unit - Advanced Cardiovascular Institute, Port of Spain, Trinidad and Tobago , Anand Seecheran, Naveen Department of Clinical Medical Sciences - University of the West Indies, St. Augustine, Trinidad and Tobago
Abstract :
Brugada syndrome (BrS) is a genetic condition that accentuates the risk of potentially lethal ventricular arrhythmias and sudden
cardiac death (SCD) in a structurally normal heart. The Brugada electrocardiographic pattern may manifest separately from the
syndrome—this clinical scenario has been described as Brugada phenocopy (BrP). Many etiologies of BrP have been reported,
but it has not yet been reported as a result of coronary slow flow (CSF) phenomenon. This case report highlights a suspected
coronary slow flow-associated Brugada type 1 electrocardiographic pattern, which subsequently normalized following the
institution of guideline-directed medical therapy for acute coronary syndrome.