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Brugada syndrome with arrhythmic syncope — RCPSC EM MCQ

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HardCardiovascular emergenciesBrugada syndrome with arrhythmic syncopeRCPSC EM

CTAS 2: A 38-year-old has syncope during a febrile illness. Vitals are T 39.2°C, BP 118/74, HR 96. ECG shows coved ST elevation in V1-V2 with T-wave inversion. Troponin is negative and bedside echo is normal. What is the most appropriate disposition?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Admit to monitored care with cardiology/electrophysiology consultation

Fever can unmask Brugada pattern and syncope suggests malignant ventricular arrhythmia risk. Monitored admission and specialist assessment are appropriate.

Reference: Canadian inherited arrhythmia practice; ECG emergency medicine