title: A case of Brugada syndrome in a 63 y/o man with chest pain.
abstract: Brugada syndrome (BS) is an under recognized condition inherited through autosomal dominant transmission that consists mainly of characteristic electrocardiogram findings with ST segment elevation, in leads V1 through V3, complemented with right bundle-branch block pattern. Patients usually have medical history of prior syncopal episodes and are at risk of sudden cardiac death; although diagnostic studies reveal structurally normal heart. Adequate treatment consists of implantable cardioverter defibrillator which can prevent associated lethal arrhythmias that lead to sudden cardiac death. Correct diagnosis with medical history and characteristic electrocardiographic findings is essential to the physician to prevent unnecessary treatments that can further compromise patient's health status.
authors.affiliation: Cardiology Section, Department of Medicine, Veterans Administration Medical Center of San Juan, Puerto Rico, USA.
authors.forename: Héctor
authors.initials: H
authors.lastname: Martínez
authors.forename: Luarde
authors.initials: L
authors.lastname: Montano
authors.forename: Luis
authors.initials: L
authors.lastname: Rodriguez-Ospina
authors.forename: Zulmari
authors.initials: Z
authors.lastname: Campos
authors.forename: Myrna
authors.initials: M
authors.lastname: Muñiz
authors.forename: Eric
authors.initials: E
authors.lastname: Aviles
mesh_terms: D053840:Brugada Syndrome / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D002637:Chest Pain / Q000209:etiology; D017147:Defibrillators, Implantable; D004452:Echocardiography; D004562:Electrocardiography; D015716:Electrocardiography, Ambulatory; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors