Brugada Syndrome: Quick Guide ECG Patterns (V1–V2, 2nd/3rd ICS) 📉 🔹 Type 1 (Diagnostic): ≥2 mm coved ST elevation, downsloping ST segment, inverted T-wave. 🔹 Type 2: ≥2 mm saddleback ST elevation, upright/biphasic T-wave. 🔹 Dynamic changes: Fever/ajmaline can unmask Type 1. 🔹 Pseudo-RBBB (no true conduction delay). --- Diagnosis: Shanghai Score 2020 📋 ✅ Score ≥3.5 confirms BrS: - 3.5: Spontaneous/drug-induced Type 1 ECG. - 2: Family SCD
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Brugada Syndrome: Quick Guide ECG Patterns (V1–V2, 2nd/3rd ICS…
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Brugada Syndrome: ECG Pattern Review 🫀 Recognize the Three ECG Types (V1–V3, 2nd/3rd ICS): 🔹 Type 1 (Coved, Diagnostic): - J wave elevation ≥2 mm - Negative T wave - Coved, gradually descending ST segment - Diagnostic for Brugada syndrome 🔹 Type 2 (Saddleback, Non-diagnostic): - J wave elevation ≥2 mm - Positive or biphasic T wave - Saddleback ST segment (≥1 mm elevation) - May convert to Type 1 with Na⁺ channel blocker 🔹 Type 3 (Saddleback, Non-diagnostic): - J wave elevation ≥2 mm - Saddle
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Brugada Syndrome: ECG Pattern Review 🫀 Recognize the Three EC…
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Brugada Syndrome: ECG Characteristics (V1–V2, 2nd/3rd ICS) 📉 Type 1 (Diagnostic): ≥2 mm coved ST elevation, downsloping ST segment, inverted T-wave. Type 2: ≥2 mm saddleback ST elevation, upright or biphasic T-wave. Dynamic Changes: Fever or sodium channel blockers (e.g., ajmaline) may unmask Type 1. Note: Pseudo-RBBB pattern without true conduction delay. Diagnosis: Shanghai Score 2020 📋 ≥3.5 points confirms Brugada Syndrome (BrS): 3.5: Spontaneous or drug-induced Type 1 ECG. 2: Family histor
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ECG made super easy: Brugada criteria for ventricular tachycardia. SVT vs VT
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🫀 Brugada Algorithm in Clinical Practice – Use in? The Brugada algorithm is used to differentiate wide-complex tachycardia (WCT) and answer one key question: 👉 Is this Ventricular Tachycardia (VT) or Supraventricular Tachycardia with aberrancy (SVT-A)? ⸻ 📌 Use the Brugada Algorithm in: • Patients with regular wide-complex tachycardia (QRS ≥120 ms) • Hemodynamically stable patients with tachycardia • Emergency & acute care ECG interpretation • When diagnosis of VT vs SVT with BBB/WPW is unclea
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