1. What is the diagnosis?
2. How would you manage this man?
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This man presented after two syncopal events at home. He describes sudden LOC and woke without any post ictal phase. He has had no episodes of chest pain.
1. What is the diagnosis? 2. How would you manage this man?
10 Comments
JP
4/4/2016 02:45:27 am
1. Brugada
Reply
Naanu Neenu
14/4/2016 11:30:59 am
Type 1 Brugada
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Naanu Neenu
14/4/2016 11:31:10 am
Type 1 Brugada
Reply
Andy
14/4/2016 09:42:10 pm
Type 1 Brugada. Patient is symptomatic and hence needs monitored bed till PPM Insertion
Reply
Siva
20/4/2016 03:38:40 pm
Brigade unlikely .For type 1 brugada ,need coved st elevation in >1 leads in v1-v3 .In this ecg coved ST appears only on v1.
Reply
pk
22/4/2016 07:05:10 am
the patient has ST elevation in V1 and AVR with T wave flattening in inferior leads. Worry about LMCA or LAD lesion but history not typical for Ischemic event
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pk
22/4/2016 07:09:31 am
Correction : actually LMCA artery stenosis can present has syncopal as presenting complain
Reply
Zsombor Kovacs
19/5/2016 12:17:11 pm
Pro LMCA stenosis: ST depression and T flattening infero-lateral leads, ST elevation in aVR and V1 only not V2-3
Reply
Zsombor Kovacs
19/5/2016 12:17:46 pm
Pro LMCA stenosis: ST depression and T flattening infero-lateral leads, ST elevation in aVR and V1 only not V2-3
Reply
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