Brugada syndrome and acute myocardial infarction with non-obstructive coronary arteries: features of diagnosis and treatment (literature review and analysis of a clinical case)

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.