Affiliation:
1. Singapore General Hospital, Department of Emergency Medicine, 1 Hospital Drive, Outram Road, Singapore 169608
Abstract
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.