Electrocardiogram

ase presentation: A 22-yearold male, previously healthy, came to the outpatient clinic soon after an episode that he described as "near fainting" during complete rest, but at the time he was feeling strong anger because of a dispute with his friends.The physical examination was normal, but the resting 12-lead ECG, taken for the first time in his life, showed alterations diagnosed as Brugada syndrome (Figure).Holter monitoring showed the typical signs of the syndrome with no other abnormalities.The patient was referred for further evaluation, including family search for this syndrome, which turned out negative.Currently, implantation of an implantable cardioverter-defibrillator is being considered in a tertiary hospital for this patient.