EGG Changes in Pectus Excavatum (Funnel Chest)

Brugada Phenocopy in a Patient with Pectus Excavatum: Systematic Review of the ECG Manifestations Associated with Pectus Excavatum

“…Commonly encountered ECG findings include iRBBB or complete right bundle branch block (RBBB); right axis deviation; T‐wave inversion mainly in the right precordial leads; acute myocardial ischemia patterns including ST‐segment elevation; ST‐segment depression; poor R‐wave progression in the right precordial leads; and abnormal Q waves . Also, P‐wave changes in the right precordial leads have been reported including negative P waves and prominent P waves . There are also reports of supraventricular arrhythmia (atrial flutter or fibrillation) caused by cardiac compression and irritation of the atrium .…”

“…Those patients did not undergo provocative testing with sodium channel blockers; however, the author believed that the ECG patterns were benign based on the negative prior history of syncope or familial SCD. He based his arguments on the previously reported disappearance of these ECG patterns after surgical correction of pectus excavatum . This was presumed to be the consequence of chronic mechanical injury to the right ventricle caused by compression of the anterior chest wall .…”