28 year-old Chinese man from Chengdu, China
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
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
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
1 - http://emedicine.medscape.com/article/163751-overview