An important incidental ECG findings - Answers

ABSTRACT

(Refer to page 48) Answer Brugada syndrome The patient did not have any cardiac symptoms or any cardiac enzyme changes suggestive of an acute myocardial infarction (AMI). Although not always present, the finding of reciprocal ST segment depression in opposing leads favours myocardial infarction. This was also not present in the patient’s ECG. Echocardiogram did not show any regional wall motion changes that could be seen in patients with myocardial infarction. Thus the probability of this patient having AMI based on the ECG alone is very unlikely.