Type 1 Brugada Phenocopy in a Patient with Stubborn Congestive Heart Failure

Abstract

Brugada syndrome (BrS) is an inherited cardiac ion channelopathy, which can induce malignant arrhythmias and sudden cardiac death (SCD). The BrS ECG is characterized by an abnormal ST-segment elevation of at least 2 mm (0.2 mV) in leads V1-3, including three types. Type-1 manifests a coved pattern, which obtained the most diagnostic significance [1-3]. Brugada phenocopy (BrP) is referred to as a clinical situation that has an identical ECG pattern to congenital BrS but is induced by various other clinical factors. In this report, we describe the case of severe heart failure, in which the Type-1 Brugada pattern was recorded.