Brugada Syndrome
Report:
Sinus tachycardia 101/min
PR interval 0.20”
V1-2 morphology c/c Brugada syndrome
Comment:
The patient was admitted under a Neurologist, whose routine tests (scans, EEG, etc) were normal; a Cardiology consultation was arranged because of the “long QT interval”. Unfortunately the Cardiologist could not make it in time for the planned discharge and the patient was sent home and was found dead a few days later.
The trace has an atypical RBBB with unexpected ST elevation in V1-2 typical of Brugada syndrome. It is not, per se, diagnostic. In the context, it is virtually pathognomonic.
The trace went unreported and, in fact, lost: Fig 63 is a scanned copy of the Medical Records scan of the missing original.
The Coroner remained silent. Nobody wanted to rock the boat, post factum.
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