A 56-year-old woman with well-documented Chagas disease was found to have a spontaneous type 1 electrocardiographic (ECG) pattern of Brugada syndrome. It is most likely that this characteristic ST-segment elevation is an unusual manifestation of the pathological changes in Chagas disease. This ECG pattern has been found with other cardiac pathology and has been reported to be induced in patients with Chagas disease.

The authors report a case of a 39-year-old woman with dextrocardia and situs inversus who presented with episodes of complete heart block, managed successfully with a permanent dual chamber endocardial pacemaker.

No abstract