Hong Kong Journal of Emergency Medicine

Volume 8 Number 3, July 2001

Brugada syndrome: an intriguing phenomenon

F Lateef, V Anantharaman

Brugada Syndrome has a unique electrocardiographic pattern of downsloping ST-segment elevation in the right praecordial leads (V1 to V3), right bundle branch block pattern and a normal QT-interval. Intermittent and concealed forms do exist. It is important for emergency physicians to recognise this ECG marker of sudden cardiac death. We report the case of a young man who presented to the Emergency Department with chest pain, and whose ECG was diagnostic of Brugada Syndrome. This is followed by a discussion on its recognition, postulated mechanisms and current mode of management. (Hong Kong j.emerg.med. 2001;8:153-158)

Keywords : Brugada syndrome, electrocardiography, sudden cardiac death

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