Unmasking Idiopathic Brugada ECG Pattern: Inducible Type 1 Brugada Pattern in a Young Patient and Clinical Implications

Brugada syndrome is a rare inherited channelopathy associated with an increased risk of ventricular tachycardia and ventricular fibrillation, leading to syncope and sudden cardiac death. We present a case report of a young patient with an inducible type 1 Brugada pattern on an electrocardiogram (ECG...

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Published inCurēus (Palo Alto, CA) Vol. 15; no. 6; p. e40739
Main Authors El Ouartassi, Hajar, El Boussaadani, Badre, Faraj, Raid, Fellat, Ibtissam, Cherti, Mohamed
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 21.06.2023
Cureus
Subjects
Asymptomatic
Cardiac arrhythmia
Cardiology
Case reports
Electrocardiography
Emergency Medicine
Genetic testing
Pathology
Patients
inherited channelopathy
brugada syndrome
syncope
ajmaline test
cardiac sudden death
brugada ecg pattern
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Summary:Brugada syndrome is a rare inherited channelopathy associated with an increased risk of ventricular tachycardia and ventricular fibrillation, leading to syncope and sudden cardiac death. We present a case report of a young patient with an inducible type 1 Brugada pattern on an electrocardiogram (ECG), accompanied by a comprehensive literature review. The 19-year-old patient presented with dizziness and exhibited a type 2 Brugada pattern on admission ECG, which converted to a type 1 pattern following an Ajmaline test. Based on the absence of symptoms, inducible arrhythmias, or cardiac events in the patient's history, implantable cardioverter-defibrillator insertion was deemed unnecessary. Genetic testing was recommended, and screening ECGs were advised for the patient's first-degree relatives. The discussion explores the different types of Brugada patterns, their diagnostic significance, and the controversies surrounding risk stratification and management strategies. The case underscores the importance of maintaining clinical suspicion for Brugada syndrome in young patients and tailoring treatment approaches based on individual characteristics and risk factors.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.40739