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:

http://lifeinthefastlane.com/what-is-brugada-syndrome/

 

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