Brugada like ECG

Brugada like ECG

Brugada like ECG
Brugada like ECG

‘Brugada like’ ECGs with concave upwards ST elevation are extremely common, though most of them do not have any history of life threatening ventricular arrhythmias or a positive family history of sudden cardiac death. In this ECG, in addition to the ‘Brugada like’ pattern in anterior leads with a right bundle branch block pattern and an elevated ST segment (unlike the depressed ST segment in typical right bundle branch block), there is a leftward axis with rS complexes in leads III and aVF and a borderline PR interval of 200 msec. ‘Brugada like’ ECGs have been described in various conditions with pathology in the region of right ventricular outflow tract like compression by a mass.

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