UMEM Educational Pearls

Category: Airway Management

Title: Brugada syndrome mimics

Keywords: Brugada syndrome (PubMed Search)

Posted: 2/22/2009 by Amal Mattu, MD (Updated: 9/24/2021)
Click here to contact Amal Mattu, MD

Brugada syndrome ECG findings are now well-recognized by many emergency physicians, but we need to be aware of mimics as well. Conditions that have been reported to induce a Brugada-ECG pattern include hyperkalemia, hypercalcemia, cocaine intoxication, and conditions that impinge on the right ventricle (e.g., tumors, pericardial fluid). There's debate in the cardiology community regarding how to manage these patients...but this debate is best left to your cardiology consultants. When you see a Brugada-like finding, get an electrophysiologist involved in the case!