Faculty mentor/PI email address
jim010@aol.com
Is your research Teaching and Learning based?
1
Keywords
Brugada Syndrome, Southeast Asian descent, Arrhythmic Syncope, ICD
Date of Presentation
5-6-2026 12:00 AM
Poster Abstract
Brugada Syndrome (BrS) is a premier cause of sudden cardiac death (SCD) in structurally normal hearts, particularly in Southeast Asia (SEA) where it is historically recognized as Sudden Unexplained Nocturnal Death Syndrome (SUNDS). We report the case of a 55-year-old male of Vietnamese descent who presented to the emergency department (ED) after a sudden, non-prodromal syncopal episode at rest. The event was significant for urinary incontinence and diaphoresis, classic red flags for arrhythmic syncope. Bedside electrocardiogram (EKG) demonstrated the pathognomonic Type 1 coved ST-segment elevation in leads V1 and V2. This symptomatic presentation following a six-year "follow-up gap" since a previous diagnostic EKG and a similar unmanaged episode three years prior, underscores the syndrome’s dynamic and frequently overlooked nature in at-risk populations. Following admission for specialized electrophysiology (EP) evaluation, the patient was discharged with a LifeVest (wearable cardioverter-defibrillator) and a scheduled plan for subcutaneous implantable cardioverter-defibrillator (ICD) placement. This case emphasizes the high prognostic importance of recognizing the pathognomonic coved morphology to prevent fatal arrhythmic outcomes in the ED setting.
Disciplines
Cardiovascular Diseases | Congenital, Hereditary, and Neonatal Diseases and Abnormalities | Medicine and Health Sciences
Included in
Cardiovascular Diseases Commons, Congenital, Hereditary, and Neonatal Diseases and Abnormalities Commons
Arrhythmic Syncope and Brugada Syndrome: Critical Identification of High-Risk Patterns at the ED Frontline
Brugada Syndrome (BrS) is a premier cause of sudden cardiac death (SCD) in structurally normal hearts, particularly in Southeast Asia (SEA) where it is historically recognized as Sudden Unexplained Nocturnal Death Syndrome (SUNDS). We report the case of a 55-year-old male of Vietnamese descent who presented to the emergency department (ED) after a sudden, non-prodromal syncopal episode at rest. The event was significant for urinary incontinence and diaphoresis, classic red flags for arrhythmic syncope. Bedside electrocardiogram (EKG) demonstrated the pathognomonic Type 1 coved ST-segment elevation in leads V1 and V2. This symptomatic presentation following a six-year "follow-up gap" since a previous diagnostic EKG and a similar unmanaged episode three years prior, underscores the syndrome’s dynamic and frequently overlooked nature in at-risk populations. Following admission for specialized electrophysiology (EP) evaluation, the patient was discharged with a LifeVest (wearable cardioverter-defibrillator) and a scheduled plan for subcutaneous implantable cardioverter-defibrillator (ICD) placement. This case emphasizes the high prognostic importance of recognizing the pathognomonic coved morphology to prevent fatal arrhythmic outcomes in the ED setting.