Brugada Syndrome, QRS-Fragmentation, Wavy Triple Sign (Yasser’s sign) with Myocardial Ischemia in Terminal Metastatic Prostatic Carcinoma: OAJBS Publishers

Brugada Syndrome, QRS-Fragmentation, Wavy Triple Sign (Yasser’s sign) with Myocardial Ischemia in Terminal Metastatic Prostatic Carcinoma by Yasser Mohammed Hassanain Elsayed* in Open Access Journal of Biomedical Science (OAJBS)

Rationale: Prostatic carcinoma is the most frequently detected malignancy and the sixth leading cause of tumor mortality in men. Gleason grade is one of the most important prognosticators in prostate carcinoma. Brugada syndrome (BrS) is a genetic disorder with abnormal electrical activity within the heart. The syndrome carries a higher risk for ventricular fibrillation and sudden death. The presence of fQRS can be yielding regional conduction decelerating such as ischemia, scar, fibrosis, myofiber disarray, inflammation, and microvascular abnormality. Wavy triple an electrocardiographic sign (Yasser’s Sign) is a novel diagnostic electrocardiographic sign was prescribed in hypocalcemia.

Patient concerns: A 70-year-old married, worker, smoker, Egyptian, male patient was admitted to the intensive care unit with metastatic prostatic carcinoma, suspected pulmonary embolism, hepatorenal impairment involvement, and numerous electrocardiographic signs.

Diagnosis: Metastatic prostatic carcinoma with suspected pulmonary embolism and hepatorenal impairment involvement. Interventions: Electrocardiography, oxygenation, and CT pulmonary angiogram.

Outcomes: Electrocardiographic and clinical stabilization was the only result.

Lessons: The presence of elderly, myocardial ischemia, heavy cigarette smoking, Wavy triple sign or (Yasser’s sign), hepatorenal impairment, and QRS-fragmentation in metastatic prostatic carcinoma are a constellation of serious risk factors. The De-Winter sign is an equivalent of acute myocardial infarction with considering of up-sloping ST-segment depression.
https://biomedscis.com/fulltext/brugada-syndrome-qrs-fragmentation-wavy-triple-sign-yassers-sign-with-myocardial-ischemia.ID.000346.php

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