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Free MCQ Question of the Week
21 year old male has one episode of syncope
- Complete Right Bundle Branch Block
- Brugada Type 2
- Brugada Type 1
- Incomplete Right Bundle Branch Block
Answer: Choice 2: Brugada Type 2
Type I: Lead V1 has a “coved” ST segment elevation of at least 2 millimeters, followed by a negative T wave.
Type II: There is a “saddleback” appearance of the ST segment in lead V1 with ST segment elevation of at least 2 millimeters; this can be present in normal individuals as well.
Type III: Features of type I (coved) or type II (saddleback) with < 2 mm of ST segment elevation.
These ECG changes can be provoked in the electrophysiology lab by infusing procainamide.
The treatment for Brugada Syndrome is an ICD (implantable cardioverter defibrillator).
Brugada J, Campuzano O, Arbelo E, Sarquella-Brugada G, Brugada R. Present Status of Brugada Syndrome: JACC State-of-the-Art Review. J Am Coll Cardiol. 2018;72(9):1046-1059.