KMID : 0368120070370100517
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Korean Circulation Journal 2007 Volume.37 No. 10 p.517 ~ p.519
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An Unusual Case of Exercise-Induced Idiopathic Brugada Electrocardiographic Pattern
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Cho Ji-Hoon
Cho Deok-Kyu Choi Jin-Yi Eun Young-Min Cho Yun-Hyeong Koh Jong-Hoon Byun Ki-Hyun
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Abstract
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An exercise-induced idiopathic Brugada electrocardiographic pattern during the effort phase is very rare. A 42-year-old male visited our cardiology clinic for chest discomfort. He has been treated for myocardial infarction 2 months ago. He underwent a treadmill test according to the Bruce protocol. Typical coved-type ST-segment elevation was found during the effort phase, and it gradually recovered after the exercise. The ST-segment elevation appeared to be unrelated to hypervagotonia. This elevation was not induced by a pharmacological test with flecainide. A significant ventricular arrhythmia was not induced by programmed ventricular stimulation. Hence, we discharged the patient without implantation of an implantable cardioverter defibrillator
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KEYWORD
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Brugada ECG, Vagus nerve, Exercise test
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