This is a 34 years old man who was admitted with a syncopal attack. ECG shows the above. What is the diagnosis and what would you do next.
This question recently came out in the MRCP PACES exam Part IIa.
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4 comments:
NSR
HR around 60 bpm
LAD
Regular
ST elevation in V1 and negative T wave with gradually descending ST segment in V2 and V3
My impression: Brugada syndrome type 1
considering the fact that he was admitted with syncope, in my opinion it is most probably due to ventricular arrhythmia, so in this case, ICD implantation should be considered.
Great ! Thats correct ! Brugada syndrome.
The salient points :
ST elevation in V1-3 with RBBB
its brugada syndrome!!
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