Key result
Family screening of a 25-year-old soldier who died from sudden arrhythmic death syndrome identified Brugada syndrome in two first-degree relatives.
Case Report (n=1)
This case highlights the critical importance of clinical screening for first-degree relatives of victims of sudden arrhythmic death syndrome to identify inherited conditions like Brugada syndrome.
Supports family screening after sudden arrhythmic death syndrome; hypothesis-generating for Brugada syndrome detection in relatives.
A 25-year-old infantry soldier, who was previously fit and well, had a cardiac arrest while undertaking an advanced fitness test. Despite early cardiopulmonary resuscitation by colleagues and the emergency services, he was later pronounced dead. A postmortem performed by an expert pathologist and a toxicology screen were normal and the death was attributed to sudden arrhythmic death syndrome (SADS). Screening of his family in our Inherited Cardiac Conditions clinic identified Brugada syndrome (BrS) in two first-degree relatives. This case generates discussion on sudden cardiac death, family screening in SADS, BrS and the limitations of recruit screening with an ECG.
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Eveson et al. (2019) conducted a case report in Sudden arrhythmic death syndrome (SADS) / Brugada syndrome (BrS) (n=1). Family screening was evaluated on Identification of Brugada syndrome in relatives. Family screening of a 25-year-old soldier who died from sudden arrhythmic death syndrome identified Brugada syndrome in two first-degree relatives.
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