Brugada syndrome: Identification of a new case

Abstract

Brugada syndrome is a primary electrical disorder in the absence of structural heart disease, associated with a significantly increased risk of sudden death in young individuals. Disputes increase after 25 years of its discovery, more than 300 mutations and several genes involved have been described. The case of a 44-year-old man with no personal or family history of cardiovascular disease, who manifests several syncopal episodes and whose baseline electrocardiogram shows a Brugada pattern. A pharmacological challenge test was performed and typical criteria to suggest the arrhythmogenic syndrome were detected. After the diagnosis, an automatic cardioverter-defibrillator was implanted attaining a favorable clinical course. Brugada syndrome can be diagnosed through surface electrocardiogram, which can prevent one of the leading causes of sudden cardiac death through the use of a defibrillator.