EMCORE
  • Home
  • EMCORE CONFERENCES
    • EMCORE Sydney 2021
    • EMCORE GOLD COAST LECTURE VIDEOS
    • FAQ
    • CERTIFICATES >
      • Fiji 2019
      • Gold Coast certificates
    • Previous EMCORE's >
      • EMCORE Gold Coast 2020
      • Fiji 2019
      • Melbourne 2019
      • Hong Kong 2019
      • Byron Bay 2019
      • Santorini 2018
      • Fiji 2018
      • Melbourne 2018
      • Hong Kong 2018
      • Hong Kong 2017 >
        • EMCORE HONK KONG Certificates
        • EMCORE HONG KONG 2017 VIDEOS
      • Melbourne 2017 >
        • Video of the Week
      • Fiji 2016 Gallery >
        • Melbourne 2016 >
          • Pre-Conf Workshops >
            • Melbourne 2016
            • Cardiac Bootcamp
    • EMCORE Singapore 2020 POSTPONED
  • CARDIAC BOOTCAMP
    • CARDIAC BOOTCAMP
    • SELF STUDY COURSE
  • Cardiac Blog
  • EMCORE DIGITAL
  • STORE
  • MEMBERS
    • LOGIN

THE CARDIAC BOOTCAMP BLOG

A 42 year old male develops Brugada Type I changes post cardioversion

12/3/2020

0 Comments

 
A 42 year old male presents to the Emergency Department with shortness of breath, palpitations and light headedness. This is a case from the literature(1).
His blood pressure at presentation is 85/65.
His initial ECG shows that he is in rapid atrial fibrillation.
It is decided to cardiovert this patient.
​
His cardiac tracing immediately post cardioversion with a biphasic defibrillator at 200J, with pads in the antero-posterior position is shown below. What does it show?
Picture
Addalla K et al. European Heart Journal Case Reports (2019) 3, 1-8
The tracing shows a Type I Brugada Pattern post cardioversion. It resolves after a few seconds.
What do we do with this? Is it significant?
Transient ST segment changes post cardioversion are well described. Their significance is uncertain.
Hypotheses for the ST segment changes include:
  1. Coronary Artery Spasm- Although the time it takes for the spasm to occur and the time it takes for changes appear don't seem to coincide ie., the changes occur much earlier.
  2. Acute Myocyte necrosis- Cardiac Troponin levels are not necessarily raised.
  3. Potential differences between depolarised and non-depolarised parts of the membrane
Regardless of the reason that they occur, these changes are transient, and thought to be of little consequence.
However, given that Brugada patterns predispose to ventricular arrhythmias, it may be prudent to monitor these patients for a period of time.
Read more on Brugada Syndrome and How to diagnose both Type I and Type II in the Cardiac Bootcamp Course.
BECOME A CARDIAC BOOTCAMP COURSE MEMBER TODAY AND BECOME THE CARDIAC EXPERT
References
1. Abdalla K et al Transient appearance of Brugada-like Type 1 electrocardiogram pattern immediately after biphasic synchronised electrical cardioversion for atrial fibrillation: a case series. ​European Heart Journal - Case Reports, Volume 3, Issue 4, December 2019, Pages 1–8
0 Comments



Leave a Reply.

    Dr Peter Kas

    Emergency Physician

    Picture

    Archives

    April 2021
    March 2021
    February 2021
    December 2020
    November 2020
    September 2020
    August 2020
    July 2020

    Categories

    All
    COVID
    Infarction

www.resus.com.au

Terms and Conditions
OUR OTHER GREAT COURSES AND EVENTS                                                                                                                                                                                               
Workshops
Cardiac Bootcamp
Advanced Airway Workshop


Fellowship Courses
Primary Fellowship Course
The Written Fellowship Exam Course
The OSCE Course


​On-Line Courses
Own The ECG
  • Home
  • EMCORE CONFERENCES
    • EMCORE Sydney 2021
    • EMCORE GOLD COAST LECTURE VIDEOS
    • FAQ
    • CERTIFICATES >
      • Fiji 2019
      • Gold Coast certificates
    • Previous EMCORE's >
      • EMCORE Gold Coast 2020
      • Fiji 2019
      • Melbourne 2019
      • Hong Kong 2019
      • Byron Bay 2019
      • Santorini 2018
      • Fiji 2018
      • Melbourne 2018
      • Hong Kong 2018
      • Hong Kong 2017 >
        • EMCORE HONK KONG Certificates
        • EMCORE HONG KONG 2017 VIDEOS
      • Melbourne 2017 >
        • Video of the Week
      • Fiji 2016 Gallery >
        • Melbourne 2016 >
          • Pre-Conf Workshops >
            • Melbourne 2016
            • Cardiac Bootcamp
    • EMCORE Singapore 2020 POSTPONED
  • CARDIAC BOOTCAMP
    • CARDIAC BOOTCAMP
    • SELF STUDY COURSE
  • Cardiac Blog
  • EMCORE DIGITAL
  • STORE
  • MEMBERS
    • LOGIN