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Brugada syndrome with syncope — RCPSC EM MCQ

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ModerateCardiovascular emergenciesBrugada syndrome with syncopeRCPSC EM

A 33-year-old man has exertional syncope while playing basketball. ECG shows coved ST elevation in V1-V2 with T-wave inversion. Electrolytes and troponin are normal; his brother died suddenly at age 29. What is the most appropriate next step?

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

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Correct answer: A — Place on cardiac monitoring, avoid provoking drugs and arrange urgent cardiology/electrophysiology consultation

Syncope with a Brugada type 1 ECG pattern and family history of sudden death is high risk for malignant ventricular arrhythmia. Monitored care and specialist assessment are required.

Reference: Canadian Cardiovascular Society inherited arrhythmia guidance; ACLS