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Brugada syndrome — RCPSC EM MCQ

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ModerateCardiovascular emergenciesBrugada syndromeRCPSC EM

A 32-year-old man is brought in after syncope during a febrile illness. His brother died suddenly at age 29. ECG shows coved ST elevation in V1 to V3 with T-wave inversion; troponin is normal and electrolytes are normal. What is the most likely diagnosis?

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

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Correct answer: E — Brugada syndrome

Brugada syndrome is correct: the clues indicate Brugada syndrome and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Rosen's Emergency Medicine; Canadian inherited arrhythmia practice