Clinics and Practice (Nov 2011)

Transient loss of consciousness in a patient with a Brugada like ECG

  • Belinda Sandler,
  • Steve Furniss,
  • Eric McWilliams

DOI
https://doi.org/10.4081/cp.2011.e123
Journal volume & issue
Vol. 1, no. 4

Abstract

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Syncope in a patient with a Brugada syndrome channelopathy carries significant prognostic implications and warrants consideration of implantable cardioverter defibrillator (ICD) implantation. We report a case of a 62- year-old gentleman who presented with a transient loss of consciousness and an electrocardiogram (ECG) suggestive of type 1 Brugada syndrome. Further investigation revealed evidence of a silent myocardial infarction and negative ventricular tachycardia stimulation and Ajmaline testing. Careful review of the ECG’s subsequently showed the type 1 pattern was present in only V1.

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