Is this ECG suggestive for Brugada syndrome?

25 years old male with palpitations. What is your plan for further management of this case.
Brugada syndrome is rare cardiac disease with genetic substrate. ECG featuring for Brugada Syndrome is RBBB (or incomplete RBBB) with ST elevation in right precordial leads. Diagnosis is based on this specific ECG pattern, observed either spontaneously or during provocation tests such is Ajmalin test. Genetic test and electrophysiological studies can be uses too, to make the diagnosis of this disease and to assess the risk of sudden death from cardiac arrhythmias. Brugada represent high risk for sudden cardiac death.

Comments

Post a Comment

Popular posts from this blog

Sinus tachycardia vs Sinus bradycardia vs Sinus arrhythmia

Image
A) Sinus tachycardia is sinus rhythm with heart rate over 100/min. This rhythm is regular with normal appearance P wave and normal duration PR intervals. QRS complexes can be narrow or wide. B) Sinus bradycardia is sinus rhythm with heart rate bellow 60/min. This rhythm is regular with normal appearance P wave and normal duration PR intervals. QRS complexes can be narrow or wide. C) Sinus arrhythmia is sinus rhythm with variation of P-P (R-R) intervals at least 120ms. P wave has normal appearance and normal PR intervals. QRS complexes can be narrow or wide.
Read more

First degree vs Second degree vs Third degree AV Block

Image
Name this Blocks A. First degree AVB is present in this rhythm strip. Every P wave is conducted, but with prolonged PR interval (~320ms). B. Second degree AVB type 1 (Mobitz I) is present in this rhythm strip. We can see progressive prolongation of the PR interval culminating in a non-conducted P wave (3d and 7d P wave are non-conducted). C. Second degree AVB type 2:1 is present in this rhythm strip. We can see that there are 2P waves for every QRS complex. We don’t have two P wave conducted in a row so can’t conclude if PR interval is prolonged (Mobitz I) or constant (Mobitz II). D. High degree AVB (3:1) is present in this rhythm strip. We can see that just every 3d P wave is conducted (with constant PR interval) and two out of every three P wave are blocked. E. High degree AVB (4:1) is present in this rhythm strip. We can see that just every 4d P wave is conducted (with constant PR interval) and three out of every four wave are blocked. F. Third degree AVB is present i
Read more

RBBB vs LBBB vs IVCD

Image
This ECG shows: a) RBBB b) LBBB c) IVCD This ECG present typical changes for RBBB. The RBBB criteria fulfilled in this case are: -           Supraventricular rhythm. -           Wide QRS complex (>120 ms) with rsR’ morphology. -           Slurred S wave in V6. -           T wave discordance in precordial leads.   The most common cause of RBBB are: ASD, COPD, right ventricular hypertrophy, pulmonary thromboemboli, ischaemic heart disease, hypertension, cardiomyopathy.
Read more