KYJ 77 - Brugada and SUDS
A recent image that went viral on the internet, showed an ECG that demonstrated a newish abnormality. Brugada syndrome is a genetically inherited ST elevation pattern in V1 and V2.
It was named after two brothers in the early 1990s who discovered the rhythm was associated with sudden unexplained death syndrome (SUDS).
Affecting boys and men with no other cardiac risk factors, Brugada strikes with no warning because, usually young fit men would have had no need to have an ECG previously. It is therefore diagnosed by accident or routine pre-op ECG in mining, military or other industries that require a rigid medical screening pre-employment. It is also seen post successful resuscitation of men who were "a near miss" for SUDS.
The course of illness manifests as collapse and sudden cardiac arrest (SCA) with victims found to be in ventricular fibrillation.
If detected, prophylactic use of an implantable defibrillator is often the treatment.
Brugada is perhaps the most common cardiac cause of sudden death in healthy men.
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