Right Bundle Branch Block and Coved-Type ST-SegmentElevation Mimicked by Acute Cholecystitis

A 69-year-old woman had acute cholecystitis that mimicked right bundle branch block with coved-type ST-segment elevation in the precordial electrocardiogram leads (Brugada-type ST shift). The patient did not have obvious heart disease, syncope, or a family history of sudden death. The coved-type ST-...

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Bibliographic Details
Published in:Circulation Journal 2003, Vol.67(9), pp.802-804
Main Authors: Furuhashi, Masato, Uno, Kikuya, Satoh, Shin-ichiro, Hoshikawa, Kohki, Sakai, Eiji, Tsuchihashi, Kazufumi, Shimamoto, Kazuaki
Format: Article
Language:English
Subjects:
Acute cholecystitis
Antidepressant
Brugada syndrome
Pilsicainide
Signal-averaged electrocardiogram
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Summary:A 69-year-old woman had acute cholecystitis that mimicked right bundle branch block with coved-type ST-segment elevation in the precordial electrocardiogram leads (Brugada-type ST shift). The patient did not have obvious heart disease, syncope, or a family history of sudden death. The coved-type ST-segment elevation disappeared as the acute inflammation subsided. Intravenous administration of pilsicainide, a pure sodium channel blocker, could reproduce the Brugada-type ST shift. This is the first report of the Brugada-type ST shift occurring in association with acute cholecystitis. (Circ J 2003; 67: 802 - 804)
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.67.802