30-year old Thai male presenting with syncope. Describe the ECG.
Describe and interpret this ECG
ECG ANSWER and INTERPRETATION
The patient is in sinus rhythm with no evidence of dysrhythmia or AV block.
There is a characteristic pattern of abnormalities in V1-2:
- RSR’ pattern / partial RBBB.
- ST elevation with a “coved” morphology.
- Inversion of the terminal portion of the T wave.
In a patient presenting with syncope, this ECG is diagnostic of the Brugada syndrome.
Syncope ECG Checklist
When faced with a patient presenting with syncope, I systematically assess the ECG for the following abnormalities (click each item for details):