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J Korean Soc Emerg Med > Volume 32(5); 2021 > Article
Journal of The Korean Society of Emergency Medicine 2021;32(5): 480-484.
Carbon monoxide poisoning-induced type 1 Brugada electrocardiographic pattern
Youngmo Cho1,2 , Seok Ran Yeom1,2 , Suck Ju Cho1,2 , Byung Kwan Bae1,2 , Dae Sup Lee3 , Tae Gyu Hyun3 , Jinhee Ahn4 , Il Jae Wang1,2
1Department of Emergency Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
3Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea
4Department of Cardiology, Pusan National University Hospital, Busan, Korea
Correspondence  Il Jae Wang ,Tel: 051-240-7503, Fax: 051-253-6472, Email: jrmr9933@gmail.com,
Received: May 13, 2021;  Accepted: June 10, 2021.  Published online: October 31, 2021.
ABSTRACT
Carbon monoxide (CO) can cause a variety of electrocardiogram (ECG) changes. The Brugada ECG patterns are very rare in CO poisoning cases. We detected a patient with a CO-induced type 1 Brugada ECG pattern with chest pain. The panel genetic test and echocardiogram revealed normal findings. The Brugada phenocopy gradually improved over 3 days. We reviewed the literature and suggested possible mechanisms.
Key words: Carbon monoxide poisoning; Brugada ECG pattern; Brugada syndrome
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