🎯📉High-Risk ECG Markers in Brugada Syndrome (BrS) This visual guide summarizes key electrocardiographic signs beyond the diagnostic Type 1 Brugada pattern that are associated with increased risk for sudden cardiac death. · The definitive Type 1 (coved) ST-segment elevation in V1-V2. · Electrical instability markers: Atrial fibrillation, AV block, QRS fragmentation, and T-wave alternans. · Specific repolarization abnormalities: including the Tzou criteria and R-wave in aVR. Identification of th
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Brugada Syndrome is a critical genetic sodium channelopathy predisposing to sudden cardiac death in structurally normal hearts. Stethophone ✨ Diagnosis is a two-pillar process: integrating specific clinical criteria (e.g., syncope, family history) with a diagnostic Type 1 (coved) ECG pattern. Crucially, Type 2 or 3 ECG patterns are not diagnostic. Once identified in high-risk individuals, the only proven, life-saving therapy is an implantable cardioverter-defibrillator (ICD). Mastery of these pr
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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 <45 years or nocturnal agonal respiration. --- High-R
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Brugada Syndrome: Quick Guide ECG Patterns (V1–V2, 2nd/3rd ICS…
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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
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