Induced Brugada-Type Electrocardiogram, a Sign for Imminent Malignant Arrhythmias

presentation: A previously healthy 20-year-old man arrives at the emergency department for a consultation for mild fever.During his initial interview, he complains of palpitations to the triage nurse and therefore he undergoes an ECG, which is placed in the chart.A few minutes later, while awaiting his turn to be seen, he goes into cardiac arrest.The patient does not respond to resuscitation and dies in the emergency department.The autopsy reveals no cardiac structural abnormalities or evidence of myocarditis.The cause of death is determined as sudden unexplained cardiac death.The ECG from the emergency department revealed STsegment elevation in the right precordial leads consistent with a Brugada ECG pattern.