An unusual presentation of asymptomatic Type 2 Brugada pattern

Abstract

Patients with asymptomatic Type 2 Brugada ECG patterns are not often associated with the sinister cardiac presentations that are more often related to the Type 1 Brugada pattern. The use of implantable cardiac defibrillators (ICDs) are not recommended in this patient group.We present the case of a 56year old male whom was brought following a witnessed out of hospital cardiac arrest. His background included a drug-induced type 1 Brugada pattern following a flecanide challenge. He has been asymptomatic until this event. In the absence of other causes for a cardiac arrest, he received an implantable cardiac defibrillator.This case highlights an uncommon presentation of a patient with a Drug Induced Type 1 Brugada pattern. These situations pose challenges to clinicians in surveillance of patients, and highlights the need for further research into predictive markers for sudden cardiac death.