Implantable cardioverter-defibrillator placement was advised for a 48-year-old Filipino man with recurrent syncope and spontaneous type 1 Brugada ECG pattern to prevent sudden cardiac death.
Case Report (n=1)
No
This case highlights the critical importance of recognizing spontaneous type 1 Brugada ECG patterns in patients presenting with nonspecific symptoms but a history of syncope, enabling appropriate risk stratification and life-saving ICD placement.
Brugada syndrome is an inherited cardiac channelopathy associated with life-threatening ventricular arrhythmias and sudden cardiac death and is often detected incidentally. We report a 48-year-old Filipino man who presented with persistent upper respiratory symptoms and intermittent atypical chest pain, with a history of recurrent syncope. Physical examination and cardiac biomarkers were normal. Electrocardiography revealed a spontaneous type 1 Brugada pattern in leads V2-V3. Echocardiography showed mild left ventricular hypertrophy, and exercise stress testing was negative for ischemia. Based on clinical and electrocardiographic findings, implantable cardioverter-defibrillator placement was advised. This case emphasizes the importance of recognizing Brugada syndrome in patients presenting with nonspecific symptoms to enable timely diagnosis and appropriate risk stratification.
Cherian et al. (2026) conducted a case report in Middle-aged Filipino male (48 years) with history of recurrent syncope, mild hyperlipidemia, presenting with nonspecific symptoms (dry cough, intermittent atypical chest pain) and spontaneous type 1 Brugada ECG pattern (n=1). Implantable cardioverter-defibrillator (ICD) placement was evaluated on Prevention of potentially fatal ventricular arrhythmias and sudden cardiac death. Implantable cardioverter-defibrillator placement was advised for a 48-year-old Filipino man with recurrent syncope and spontaneous type 1 Brugada ECG pattern to prevent sudden cardiac death.