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Brugada syndrome with syncope — RCPSC EM MCQ

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HardCardiovascular emergenciesBrugada syndrome with syncopeRCPSC EM

A 19-year-old man collapses during basketball and is now alert. His brother died suddenly at age 22. ECG shows coved ST elevation in V1-V2 with T-wave inversion, QRS is normal, and troponin is negative. What is the most likely diagnosis?

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Correct answer: A — Brugada syndrome

Syncope with family history of sudden death and type 1 Brugada ECG pattern suggests Brugada syndrome and requires monitored admission and cardiology/electrophysiology input.

Reference: Royal College Emergency Medicine exam format and training experiences