Significance of ST depression with inverted T

[Urbanmedic461]

Sorry I don't have a scan as of now, I am at work. I'll try and scan it in at home.

I did some searching and can't seem to come up with exactly what I'm looking for.

Is there any real significance to having ST depression with a flat bottom, no slope. Followed by an inverted T wave. Is this normal in younger males? (Patient in question is 24 y/o).

Family Hx includes one sudden death at age 33, thought to possibly have been Brugada's syndrome. Patient states sometimes feels a skip in heart rate. Has not had EG done for PVCs.

I don't have a 12 lead of this patient, I'll try to track one down.

Only real physical history that stands out is a gain of 35 lbs over the last 4-6 months. Patient is a bodybuilder on a bulking up phase. No drugs, only supplements are creatine monohydrate, weight gainers, glutamine.

Any ideas? Maybe an aspect I'm not thinking of?

Thanks for any responses.

[sagigl]

the changes you've mentioned could be normal variable for a trainer.

try give us some more details of the ecg, like in what leads are these depressions?, why did he turn to you? does he have brugada manifestations (j point elevation in v1-2).

[Urbanmedic461]

This was in Lead II. This patient came to me because we were trouble shooting a cardiac monitor that was giving us a had time. So this patient tried on two different monitors and the same tracing on both.

This patient is me. That is why I'll be trying to pull up a 12 lead. If I get back to the ER before the end of shift I'll hook myself up. If not I'll be trying tommorow. Just curious if anything was popping out at anyone. And I'll get back to you on the Brugada indications as soon as I get a 12 lead done.

Thanks