External direct current (DC) shocks are and have long been commonly used for electrical
cardioversion/defibrillation of atrial or ventricular arrhythmias. ST-segment elevation
after cardioversion with DC is an easily ignored phenomenon, occurring acutely and
resolving during the first few minutes postshock. Here, we describe electrocardiographic
findings of widespread ST-segment elevation lasting at least 1 hour after DC cardioversion
for ventricular defibrillation due to Brugada syndrome and mimicking acute myocardial
infarction (AMI). This case of ST-segment elevation without a dynamic and evolving
AMI underscores the need to consider other causes of ST-segment elevation.
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Article Info
Publication History
Published online: April 14, 2014
Accepted:
April 1,
2014
Received in revised form:
March 28,
2014
Received:
February 16,
2014
Footnotes
â?†Conflict of interest: None declared.
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
