Is this Type 2 Brugada syndrome/ECG pattern?
ConclusionIn fact, this ECG is either:1) a typical athlete's mimic of type 2 Brugada, or 2) a too-high recording, or 3) BOTH. Case 2Here is a patient who presented with recurrent pre-syncope and palpitations. Here is lead V2 blown up:The base of the triangle is about 3.5 mm, and it meets the other criteria.The electrophysiologist was worried enough about type 2 Brugada that he placed an implantable loop recorder.Case 3This 40-something patient presented with dizziness and chest pain. The dizziness seemed to be vertigo more than pre-syncope.Here the lines are drawn: The base is greater than 3.5 mm, and other criteria for type 2 Brugada Pattern are present.In this case, the patient underwent a stress test for his chest pain, but the diagnosis of type 2 Brugada was dismissed because of the absence of clinical criteria. Dizziness due to vertigo was not enough.There is Brugada Pattern, but not Brugada syndromeHere is a comprehensive article inherited dysrhythmias: Executive summary: HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Steve Smith Source Type: blogs
More News: Arrhythmia | Back Pain | Blogging | Cardiology | Electrocardiogram | Heart | Heart Disease | Hypertrophic Obstructive Cardiomyopathy | Men | Pain | Pain Management | Sports Medicine | Study | Ventricular Tachycardia | Vertigo | Websites