A 22-year-old man presents to the emergency department reporting a 3-day history of dull left-sided chest discomfort on a background of recent upper respiratory tract infection.
DESCRIPTION:
- Ventricular rate 116 bpm
- Sinus rhythm/tachycardia
- Normal PR interval 162 ms
- Normal QRS axis (86°)
- Prolonged QRS duration 114 ms
- Prominent coved ST-segment elevation ≥2 mm in V1 and V2, followed by negative T waves
- Coved ST/J-point elevation also present in aVL and aVR
- ST-segment depression and T wave inversion in II, III, and aVF
- Normal QTc 364 ms
INTERPRETATION:
Brugada Syndrome Type 1 ECG pattern
CASE RESOLUTION:
…to follow!
