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Brugada syndrome with syncope — RCPSC EM MCQ

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HardCardiovascular emergenciesBrugada syndrome with syncopeRCPSC EM

A 22-year-old man faints during a soccer match. His father died suddenly at age 35. He is now asymptomatic; vitals are normal. ECG shows coved ST elevation in V1-V2 with T-wave inversion, and electrolytes are normal. What is the most appropriate disposition?

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Correct answer: B — Monitored admission with cardiology consultation

Exertional syncope plus a Brugada-pattern ECG and family history of sudden death is high risk. He requires monitored admission and specialist assessment rather than discharge.

Reference: Canadian Cardiovascular Society syncope guidance; RCPSC EM objectives