Waldo

A middle aged guy presented with syncope in our middle acuity area the other night and one of my fellow residents recognized brugada on the EKG.

The pertinent findings are the RBBB with ST elevation in V1-V3. Type 1, like the one picture above, also has T wave inversions. These EKG findings make up Brugada pattern, and when associated with syncope or other clinical characters it becomes Brugada syndrome.

Could have saved this Waldo's life, but he signed out AMA (against medical advice). Brugada is a fairly newly recognized syndrome, and still isn't very well understood. If it is caught, cardiologists can fit you with an AICD and with excellent survival results. If not you are at great risk for deadly arrhythmias. Some sources state it is one of the most common causes of sudden cardiac death in patients with structurally normal hearts.

We now return to our regularly scheduled program...