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Review
. 2019 Jul 11;12(7):e229829.
doi: 10.1136/bcr-2019-229829.

Brugada pattern: a comprehensive review on the demographic and clinical spectrum

Hassan Abbas  1 , Sohaib Roomi  1 , Waqas Ullah  1 , Asrar Ahmad  1 , Ganesh Gajanan  1
Affiliations
Review

Brugada pattern: a comprehensive review on the demographic and clinical spectrum

Hassan Abbas et al. BMJ Case Rep. .

Abstract

A prominent coved or saddle-shaped ST-segment elevation followed by T wave changes in V1-V3 and in the absence of other identifiable cause is termed as Brugada pattern. This pattern in the presence of documented ventricular arrhythmias or its symptoms (syncope, seizure) or significant family for sudden cardiac death or abovementioned ECG changes is called Brugada syndrome. Here we present a comprehensive literature review on the precipitation factors of Brugada syndrome/pattern by various stimuli, its presentation, associations, management and outcomes. We are also presenting a unique case of Brugada pattern where the patient's Brugada pattern was unmasked at an extreme old age by infection.

Keywords: arrhythmias; cardiovascular medicine.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
ECG showing normal sinus rhythm and no signs of ischaemia.
Figure 2
Figure 2
ECG showing coved ST-segment elevation with T wave inversion in V1 and V2 consistent with type 1 Brugada pattern.
Figure 3
Figure 3
Left coronary artery on angiography is clean with no obstruction.
Figure 4
Figure 4
Right coronary artery on angiography does not show any obstruction.
Figure 5
Figure 5
ECG shows resolution of the ST elevation.
See this image and copyright information in PMC

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