28 year-old Chinese man from Chengdu, China

PMH: none

PSH: none

FHx: HTN

Meds: none

All: NKDA

SocHx: occasional tobacco and alcohol, no drugs of abuse

HPI: Syncope while at home w/ no antecedent complaints.  Brought to ED.  Pulseless.  ACLS w/ ROSC.

EKG 1: during resuscitation




Wide Complex Regular Tachycardia



EKG 2: after ROSC



Electrophysiology



Types of Brugada Syndrome



Associated with a sodium channel defect leading to vulnerability to sudden onset of VFib (or polymorphic VTach) leading to sudden cardiac death
Autosomal Dominant transmission (check relatives of patient)
More common in males and Asians

Rule out other cardiac abnormalities with EKG/ECHO and also K+ and Ca2+ abnormalities.

ICD only proven treatment

Thought to be a significant cause of sudden cardiac death in otherwise healthy young Asian males

FURTHER DISCUSSION

Sources

1 - http://emedicine.medscape.com/article/163751-overview