Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content +++ ECG Findings ++ Incomplete or complete RBBB pattern in leads V1 and V2 with ST-segment elevation. There are two types of ST elevation: (1) the type I pattern has ST elevation that is convex upward, terminating in a negative T wave; this is the most sensitive and specific pattern; (2) the type II pattern has ST elevation that is concave upward (saddleback pattern) and is less sensitive and less specific. +++ Pearls ++ Brugada syndrome is thought to be a sodium channelopathy. Patients with Brugada syndrome are at risk for spontaneous arrhythmias and sudden cardiac death. ECG changes in Brugada syndrome patients are transient and often unmasked by fever, ischemia, and sodium channel–blocking drugs. Consultation with a cardiologist is recommended for electrophysiologic testing and automated implantable defibrillator placement. ++ FIGURE 23.43A Brugada Syndrome. (ECG contributors: Clifford L. Freeman, MD, and Nicole S. McCoin, MD.) Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 23.43B RBBB pattern with ST elevation (type I Brugada syndrome). Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 23.43C ST elevation with “saddleback” morphology (arrow) (type II Brugada syndrome). Graphic Jump LocationView Full Size||Download Slide (.ppt) Your Access profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth