Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Apr 14;4(2):251-254.
doi: 10.5811/cpcem.2020.1.44675. eCollection 2020 May.

Brugada Syndrome: Presentation and Management of the Atypical Patient in the Emergent Setting

Alexander Nguyen  1   2 , Mario Flores  2 , Vilmogil Tano  2
Affiliations
Case Reports

Brugada Syndrome: Presentation and Management of the Atypical Patient in the Emergent Setting

Alexander Nguyen et al. Clin Pract Cases Emerg Med. .

Abstract

Introduction: Brugada syndrome is a genetic disorder of the heart's electrical system that increases a patient's risk of sudden cardiac death. It is a syndrome most prevalent in Southeast Asians and is found 36 times more commonly in Asians than in Hispanics.

Case report: We report and discuss a case of a 68-year-old Hispanic male who presented with clinical and electrocardiogram abnormalities consistent with Brugada syndrome.

Discussion: The patient's age and ethnicity represents an atypical presentation of this rare syndrome and the lack of reported studies in the literature pertaining to these demographics reflect this.

Conclusion: Further studies and characterizations are necessary as manifestations continue to be unearthed. As such, Brugada Syndrome should be considered in the differential diagnosis for a myriad of patient populations.

Keywords: emergency department; sudden cardiac death; syncope; ventricular fibrillation; ventricular tachycardia.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image
Image
Initial patient electrocardiogram obtained in the ED. Black arrows demonstrate ST-segment elevation in a coved pattern consistent with a Type 1 Brugada pattern.
See this image and copyright information in PMC

References

    1. Vutthikraivit W, Rattanawong P, Putthapiban P, et al. Worldwide Prevalence of Brugada Syndrome: A Systematic Review and Meta-Analysis. Acta Cardiol Sin. 2018;34(3):267–77. - PMC - PubMed
    1. Romero J, Li D, Avendano R, et al. Brugada Syndrome: Progress in Genetics, Risk Stratification, and Management. Arrhythmia & Electrophysiol Rev. 2019;8(1):19–27. - PMC - PubMed
    1. Switzer MP, Teleb M, Agunanne E, et al. A variant of Brugada syndrome. Proc (Bayl Univ Med Cent) 2017;30(1):62–3. - PMC - PubMed
    1. Brugada R, Campuzano O, Sarquella-Brugada G, et al. Brugada Syndrome. GeneReviews. 2005
    1. Antzelevitch C, Brugada P, Borggrefe M, et al. Brugada syndrome: report of the Second Consensus Conference. Heart Rhythm. 2005;2(4):429–40. - PubMed

Publication types