Key result
Right precordial leads at higher intercostal space positions were necessary to identify specific ST-segment elevation in a patient with Brugada syndrome.
Why the study?
Do right precordial leads at higher intercostal space positions help diagnose Brugada syndrome?
Case Report (n=1)
Do right precordial leads at higher intercostal space positions help diagnose Brugada syndrome?
Placing right precordial leads at higher intercostal spaces can reveal diagnostic ST-segment elevation in Brugada syndrome when standard lead positions do not.
Answers are grounded in this paper and cite their sources.
May aid Brugada diagnosis when standard leads are inconclusive; hypothesis-generating and requires prospective validation before practice change.
TAKAGI, M., et al.: Utility of Right Precordial Leads at Higher Intercostal Space Positions to Diagnose Brugada Syndrome. We encountered a patient with Brugada syndrome whose body surface ECG revealed that the specific ST‐segment elevation was found only at higher positions of leads V1 and V2, above the third intercostal space. Only these right precordial leads at higher intercostal space positions were useful to identify Brugada syndrome in this case.
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Takagi et al. (2002) conducted a case report in Brugada syndrome (n=1). Right precordial leads at higher intercostal space positions vs. Standard lead positions was evaluated on Identification of specific ST-segment elevation. Right precordial leads at higher intercostal space positions were necessary to identify specific ST-segment elevation in a patient with Brugada syndrome.
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