cardiotomskСибирский журнал клинической и экспериментальной медициныSiberian Journal of Clinical and Experimental Medicine2713-29272713-265XTSU publishing10.29001/2073-8552-2023-38-2-241-247cardiotomsk-1810Research ArticleКЛИНИЧЕСКИЕ СЛУЧАИCLINICAL CASESСиндром Бругада и острый инфаркт миокарда при необструктивных изменениях коронарных артерий: особенности диагностики и лечения (обзор литературы и разбор клинического случая)Brugada Syndrome and acute myocardial infarction with non-obstructive coronary arteries: features of diagnosis and treatment (literature review and analysis of a clinical case)https://orcid.org/0000-0002-6900-6190ПопонинаТ. М.PoponinaT. M.

Попонина Татьяна Михайловна - д-р мед. наук, профессор, профессор кафедры кардиологии 

634050, Российская Федерация, Томск, Московский тракт, 2 

Tatiana M. Poponina - Dr. Sci. (Med.), PhD, Professor, CardiologyDepartment 

2, Moskovsky tract, Tomsk, 634050, Russian Federation 

posv@mail.tomsknet.ruhttps://orcid.org/0000-0001-8167-1778ПопонинаЮ. С.PoponinaYu. S.

Попонина Юлия Сергеевна - канд. мед. наук, доцент кафедры кардиологии; врач-кардиолог отделения неотложной кардиологии

634050, Российская Федерация, Томск, Московский тракт, 2 

634012, Российская Федерация, Томск, ул. Киевская, 111а 

Yuliya S. Poponina - Cand. Sci. (Med.), MD, PhD, Associate Professor,Cardiology Department; Cardiologist, Emergency Cardiology Department

2, Moskovsky tract, Tomsk, 634050, Russian Federation 

111a, Kievskaya str., Tomsk, 634012, Russian Federation 

yuliyasp@yandex.ruСибирский государственный медицинский университет Министерства здравоохранения Российской ФедерацииРоссияSiberian State Medical University of the Ministry of Health of the Russian FederationRussian FederationСибирский государственный медицинский университет Министерства здравоохранения Российской Федерации; Научно-исследовательский институт кардиологии, Томский национальный исследовательский медицинский центр Российской академии наукРоссияSiberian State Medical University of the Ministry of Health of the Russian Federation; Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of SciencesRussian Federation202308072023382241247Copyright © Попонина Т.М., Попонина Ю.С., 20232023Попонина Т.М., Попонина Ю.С.Poponina T.M., Poponina Y.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibjcem.ru/jour/article/view/1810

Представлен обзор литературы с разбором клинического случая пациента с сочетанием синдрома Бругада (СБ) и инфаркта миокарда без обструктивного поражения коронарных артерий (ИМБОКА). Наличие СБ у пациента не исключает развитие у него инфаркта миокарда (ИМ). В статье обсуждаются сложности дифференциальной диагностики синдрома и фенокопий Бругада у пациентов, экстренно  госпитализированных в  кардиологическое отделение с рецидивирующим болевым синдромом в грудной клетке и диагнозом острого коронарного синдрома с подъемом сегмента ST (ОКСПST). Тщательный сбор анамнеза,  анализ динамики электрокардиограммы (ЭКГ),  проведение инвазивной коронарной ангиографии  способствовали выявлению сочетания СБ и ИМБОКА у пациента. 

 A literature review is presented with an analysis of a clinical case of a patient with a combination of Brugada syndrome (BS) and myocardial infarction without obstructive coronary artery disease ((MINOCA). The presence of BS in a patient does not exclude the development of myocardial infarction. The article discusses the difficulties of differential diagnosis of BS and Brugada phenocopies in patients urgently admitted to the cardiology department with recurrent chest pain and a diagnosis of acute coronary syndrome with ST segment elevation. Careful history taking, analysis of the electrocardiogram dynamics, and invasive coronary angiography contributed  to the identification the combination of BS and MINOCA in the patient. 

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The authors declare that there are no conflicts of interest present.