Brugada Syndrome: Quick Guide ECG Patterns (V1–V2, 2nd/3rd ICS) 📉 🔹 Type 1 (Diagnostic): ≥2 mm coved ST elevation, downsloping ST segment, inverted T-wave. 🔹 Type 2: ≥2 mm saddleback ST elevation, upright/biphasic T-wave. 🔹 Dynamic changes: Fever/ajmaline can unmask Type 1. 🔹 Pseudo-RBBB (no true conduction delay). --- Diagnosis: Shanghai Score 2020 📋 ✅ Score ≥3.5 confirms BrS: - 3.5: Spontaneous/drug-induced Type 1 ECG. - 2: Family SCD

Brugada Syndrome: Diagnosis & Definitive Management Stethophone Brugada Syndrome is a critical genetic channelopathy that predisposes individuals to sudden cardiac death, despite a structurally normal heart. 🔍 Diagnosis rests on two pillars: · ECG Pillar: A diagnostic Type 1 "coved" ST-segment elevation (spontaneous or drug-induced). · Clinical Pillar: Supporting features like unexplained syncope, family history of SCD, or nocturnal agonal respirations. Crucial:Type 2 or 3 ECG patterns are sugg

Brugada Syndrome: ECG Characteristics (V1–V2, 2nd/3rd ICS) 📉 Type 1 (Diagnostic): ≥2 mm coved ST elevation, downsloping ST segment, inverted T-wave. Type 2: ≥2 mm saddleback ST elevation, upright or biphasic T-wave. Dynamic Changes: Fever or sodium channel blockers (e.g., ajmaline) may unmask Type 1. Note: Pseudo-RBBB pattern without true conduction delay. Diagnosis: Shanghai Score 2020 📋 ≥3.5 points confirms Brugada Syndrome (BrS): 3.5: Spontaneous or drug-induced Type 1 ECG. 2: Family histor