Omdlenie i elektrokardiograficzne podejrzenie zawału serca z uniesieniem odcinka ST nad ścianą przednią – pomyśl o zespole Brugadów!

This is a case of 52-year-old male after episode of syncope and with atypical chest pain referred to hospital with acute anterior ST elevation myocardial infarction. Urgent coronary angiography showed normal coronary arteries and only ECG made the next day made us to suspect Brugada syndrome. The patient had ICD implanted and because of high defibrillation threshold, subcutaneous electrode implantation was decided. Our case highlights, that ECG changes in Brugada syndrome can mimic ST elevation in the course of acute coronary syndrome and that subcutaneous electrode implantation may be useful method of lowering defibrillation treshold.