Fig 3 - uploaded by Pere Sanz
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-ECG of the patient reported here, showing a type 2 pattern Brugada syndrome (in V2: concave ST segment elevation> 2 mm followed by isodiphasic saddle back pattern T wave).

-ECG of the patient reported here, showing a type 2 pattern Brugada syndrome (in V2: concave ST segment elevation> 2 mm followed by isodiphasic saddle back pattern T wave).

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Brugada syndrome is characterized by episodes of syncope or sudden death in patient with a normal heart but with an electrocardiographic pattern of ST segment elevation in precordial leads V1 to V3 and morphology resembling right bundle branch block. Syncope and sudden death are due to polymorphic ventricular tachycardia. These electrocardiographic...

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... four works as a security guard where occasionally exposed to highly-stressful situations In a routine occupational check-up, the physical examination was normal, blood pressure was 110/60 mmHg and, in the blood count, total cholesterol was 328 mg/dl (LDL: 160 mg/dl) and triglycerides were 244 mg/dl. The ECG detected a left anterior hemiblock and elevated ST saddle back pattern segment elevation in the right precordial leads (Figure 3) suggestive of a type 2 BS. The worker was referred to a reference centre for cardiac arrhythmias, and underwent a flecainide test with good clinical tolerance and the detection of transition from a type 2 to type 1 pattern, confirming the diagnosis of BS. ...

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In 1992, the Brugada brothers published a patient series of aborted sudden death, who were successfully resuscitated from ventricular fibrillation (VF). These patients had a characteristic coved ST-segment elevation in the right precordial leads on their 12-lead electrocardiogram with no apparent structural heart abnormality. This disease was refer...