Electrical Storm ? Brugada’s Syndrome- A Case Report and Literature Review

Brugada Syndrome is an uncommon and potentially lethal disease with a high potential for morbidity if not diagnosed and treated early. New findings have changed detection and management. This case report illustrates a presentation of symptomatic dysrhythmia and aborted sudden cardiac death (SCD) in a patient who was found to have Brugada Syndrome (BrS) and demonstrates the presentation of electrical storm and the rapidly changing morphologies of the electrocardiogram (ECG) over time, characteristic of the disease. Emergency Physicians should be aware of the varying presentations of Brugada Syndrome and understand: 1. Variability and evanescent nature of the ECG changes diagnostic for the disease; 2. Conditions and medications that can unmask or exacerbate the dysrhythmias; 3. The need for judicious use of medications in the Emergency Department and timely referral and treatment. This article presents the case and discusses the incidence, presenting symptoms, diagnostic criteria and course of treatment for this particular diagnosis, as well as a review of the pertinent literature in the past ten years.