Case history
Case history #1
A 33-year-old man presents with palpitations and a recent episode of fainting while at the gym. An ECG with standard lead positions is unremarkable, aside from occasional premature ventricular complexes. Repeat ECG with high precordial leads shows ST segment elevation that is coved-type and >2 mm in amplitude, and inverted T-waves in the right precordial leads. The patient reports that his uncle passed away unexpectedly in his early 40s when his car went off the road unexpectedly while driving during the daytime. The patient has a past medical history of depression, for which he is taking a selective serotonin-reuptake inhibitor, but no other medical problems. He is a non-smoker but occasionally drinks 5-10 alcoholic beverages in one sitting while watching sports.
Case history #2
A 19-year old student who is a college athlete is undergoing pre-participation evaluation and noted to have a type I Brugada pattern pattern on ECG. The student is asymptomatic, but states that his uncle died aged 38 in his sleep in Southeast Asia.
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