Abstract
Recognition of the Brugada pattern on a surface ECG is a crucial first step in the diagnosis of Brugada syndrome and Brugada phenocopy. Patients with a concerning ECG and no clear clinical history must be referred for antiarrhythmic drug challenge to distinguish these two entities. Type 1 Brugada pattern can be recognized by the distinct “coved” morphology in leads V1–V3. However, recognition of Type 2 Brugada ECG pattern and distinguishing them from ECG diagnoses with similar morphology such as incomplete right bundle branch block remains a challenge. Numerous efforts have been launched to find the best method for detecting the Brugada ECG pattern on a 12-lead surface ECG.
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