(FIT)-Module 1, Workshop 1: Electrocardiographic/Electrophysiologic Correlation-London Case 2 Question

Video Transcription

Video Summary

A 47-year-old man with a family history of Brugada syndrome and previous syncopal events is evaluated. His brother, diagnosed with Brugada syndrome, recently received a defibrillator after surviving cardiac arrest. The patient's ECG shows right precordial leads V1 and V2. Considering his age and family history, the next best step is likely A, implantation of a defibrillator, to prevent potential life-threatening arrhythmias associated with Brugada syndrome. Other options include genetic testing, reassurance, an IV procainamide challenge, or electrophysiology testing, but a defibrillator is crucial for immediate protection against sudden cardiac events.

Keywords

Brugada syndrome

defibrillator implantation

family history

cardiac arrest prevention

right precordial leads