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

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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)
社団法人日本循環器学会の論文
2003-08-20