Brugada phenocopy induced by aluminum phosphide intoxication: a case report
Gómez-Godinez, José Alejandro; Tereta-Sunuc, Romeo Josué; Gutiérrez-Bartlett, Rodolfo; Sotomora-Ricci, Gustavo Adolfo; Parada-Cabrera, Fabio Enrique
ABSTRACT
Introduction: Brugada phenocopy is an electrocardiographic phenomenon that presents a type 1 or 2 Brugada pattern triggered by various underlying clinical conditions.
Case report: a 23-year-old male patient was admitted due to the ingestion of aluminum phosphide. At admission, an electrocardiogram showed a Brugada type 1 pattern with a transthoracic echocardiogram showing a left ventricular ejection fraction of 34% and apical dyskinesia. A second electrocardiogram was performed 24 hours later with sinus tachycardia and no evidence of the Brugada pattern. After 72 hours of clinical improvement, the apical contractility was reported as normal.
Conclusion: this acute stress-induced cardiomyopathy by Aluminum phosphide intoxication met the criteria to be regarded as a type 1 class B Brugada phenocopy.
