Abnormal EKG in rural setting

While this was not my personal patient, it came from a very good friend. This was at a facility I used to work at and I thought it made a great case for discussion.

Brugada syndromeHistory and presentation:

31 male. Hx left anterior heavy chest pain, dyspnoea, 2x sync opal episodes. No known medical hx. Heavy smoker. EtOH intoxicated on presentation. Paternal Fam hx cardiac arrest age 53. ECG shows incomplete RBBB, STE V1,V2 coved 2mm, following TWI. ?type 1. Also single PVCs on QAS trace.


The discussion quickly turned to Brugada Syndrome…thoughts?


A good review or primer on Brugada syndrome can be found here:




Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s

%d bloggers like this: