Open Access
Methods for Improving the Diagnosis of a Brugada ECG Pattern
Author(s) -
Gottschalk Byron H.,
GarciaNiebla Javier,
Anselm Daniel D.,
Glover Benedict,
Baranchuk Adrian
Publication year - 2016
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12317
Subject(s) - brugada syndrome , medicine , channelopathy , cardiology , electrocardiography , differential diagnosis , sudden cardiac death , sudden death , pathology
Brugada syndrome (BrS) is an inherited channelopathy that predisposes individuals to malignant arrhythmias and can lead to sudden cardiac death. The condition is characterized by two electrocardiography (ECG) patterns: the type‐1 or “coved” ECG and the type‐2 or “saddleback” ECG. Although the type‐1 Brugada ECG pattern is diagnostic for the condition, the type‐2 Brugada ECG pattern requires differential diagnosis from conditions that produce a similar morphology. In this article, we present a case that is suspicious but not diagnostic for BrS and discuss the application of ECG methodologies for increasing or decreasing suspicion for a diagnosis of BrS.