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N

N

N

Patient with ECG suspicious of Brugada Synd r ome

Exclude alternati v e diagnosis consistent with ECG a

No documented V A

V V

Spontaneous type 1 BrS ECG No type I BrS ECG

Discharge Discharge

F oll o w-up

F oll o w-up

Syncope

Results

A r r h ythmic syncope/ nocturnal a g onical r espiration

Sustained V A or

V V

abo r ted ca r diac a r r est

Y

Y

Y

Y F am i l y hi s t o r y

o f B f rS o r S A D S

I CD impl a nt a ti

a o n (Cl ass I Ia )

R e c u r r e n t sym pt o m a ti

a a c V A

V V

Quini d in e (Cl ass I Ia )

R e c u r r e n t sym pt o m a ti

a a c V A

V V

C a th

a a e t e r a

r bl a ti

a a o n (Cl ass I Ia )

N

A r r h y th

y y m i c sy n cop e

Une x pl a i n e d

sy n cop e

I L R (Cl ass I I a ) S od ium c h an ne l

bl oc k e

k k r te s t (Cl ass I ) S od ium c h an ne l

bl oc k e

k k r te s t (Cl ass I )

General r ecommen-

dations b (Class I)

P ositi v e

P ositi v e

Negati v e

Fu r ther e valuation acco r ding to ESC syncope Guidelines

Results

Negati v e

General r ecommendations b

(Class I) S od iu m c h ann el bl oc k er

k k t es t (Cl ass III )

Figure 33 Part One. Algorithm for the management of patients with Brugada pattern electrocardiogram. Downloaded from academic.oup.com/eurheartj/article/43/40/3997/6675633 by guest on 07 October 2026